Director, Medicare Compliance Officer

CommonSpirit Health is hiring a Director, Medicare Compliance Officer to lead the Medicare Advantage and Part D compliance program for Mercy Care Plan, reporting to the CEO and the Board Audit Committee. The role designs and runs the compliance program, oversees fraud, waste, and abuse investigations, delivers quarterly board reporting, manages annual Code of Conduct training, and builds confidential reporting channels with anti-retaliation protections. It requires a bachelor's degree or equivalent experience and at least five years developing and administering Medicare compliance programs, with a healthcare payer and regulatory compliance background.

Qualifications

• Bachelor's degree or equivalent work experience
• Five years developing and administering Medicare compliance programs
• Healthcare payer and regulatory compliance background