Senior Compliance & QA Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Compliance & QA Specialist based in United States.

This is a senior compliance role focused on strengthening oversight of a nationwide Medicare agency network and ensuring regulatory requirements are consistently met.
You will lead the evolution of a risk-based monitoring framework, using data and quality findings to identify emerging risks and prioritize action.
The role combines compliance expertise, analytical problem-solving, corrective action management, and executive-level reporting.
You will work closely with compliance leadership, quality and case management teams, agency partners, and external carrier stakeholders.
With significant autonomy, you will serve as a subject matter expert on Medicare compliance and agency oversight requirements.
You will also mentor colleagues and help translate complex regulatory issues into practical education, remediation, and program improvements.
This is an opportunity to make a meaningful impact in a fast-moving healthcare technology environment while helping improve oversight and outcomes for Medicare beneficiaries.