Medicare Compliance Analyst Job at CornerStone Professional Placement, Frisco, TX

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  • CornerStone Professional Placement
  • Frisco, TX

Job Description

Job Title: Compliance Analyst

Location: 100% Onsite in Frisco, TX 75034

Schedule: M-F, 9AM to 5PM CT

Salary: $75K - $80K BOE

Duration: Full-Time, Direct Hire

About the Company

A nationally recognized healthcare administrator providing end-to-end insurance management solutions. They support small businesses, associations, and insurance carriers with regulatory expertise, operational excellence, and innovative program delivery.

Job Overview

We are seeking a detail-oriented Compliance Analyst to support the implementation, oversight, and day-to-day maintenance of the Compliance Program. This position plays a critical role in monitoring regulatory requirements, managing compliance documentation, and assisting with audits, filings, and license renewals.

The ideal candidate has strong knowledge of federal and state regulations — particularly CMS requirements for Medicare Advantage — and a proactive, solutions-focused mindset.

Key Responsibilities

  • Monitor and interpret CMS guidance and regulatory updates related to Medicare Advantage.
  • Assist in the development and maintenance of compliance policies, procedures, and training materials.
  • Conduct internal audits and compliance monitoring to identify and resolve issues.
  • Prepare documentation and support CMS audits, data validation activities, and regulatory submissions.
  • Track and maintain compliance records, logs, and reports for internal and external review.
  • Review member-facing materials, marketing content, and vendor contracts for regulatory compliance.
  • Support license renewals, Secretary of State filings, and other required regulatory submissions.
  • Collaborate with internal departments and external stakeholders to ensure operational compliance.
  • Assist with proofreading contracts, maintaining legal documentation, and updating procedures.

Qualifications

  • Bachelor’s degree or equivalent combination of education and experience.
  • Experience in healthcare compliance, insurance, Medicare Advantage, or legal/regulatory support.
  • Strong organizational skills and ability to manage multiple priorities.
  • Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint) and Adobe Acrobat.
  • Excellent communication skills and high attention to detail.
  • Ability to work independently and maintain confidentiality.

Job Tags

Full time, Work at office,

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