Medicare Advantage Compliance Specialist

The Medicare Advantage Compliance Specialist supports RAM Health’s Compliance Program by executing and overseeing core compliance monitoring activities in a complex Medicare Advantage and Managed Medicaid environment. The role involves identifying and mitigating compliance risks through ongoing monitoring, regulatory interpretation, exclusion screening, and corrective action follow-up. This position reports to the Chief Compliance Officer and is responsible for developing high-quality RCA/CAP documentation for clients while maintaining current knowledge of federal and state regulatory requirements.