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Cms Medicare Jobs (NOW HIRING)

Clinical Pharmacist - Medicare

TX ยท Remote

$57 - $58/hr

In this remote role, you'll review pharmacy benefit requests, ensure compliance with CMS/Medicare guidelines, and provide clinical expertise while delivering a best-in-class service experience. Key ...

Stay current with CMS Medicare federal regulations to ensure policy compliance and correct application in claims processing. * Identify opportunities to innovate and enhance workflow efficiencies ...

... for Medicare claims review determinations and national coverage and payment issues under the ... Interacts with/presents to medical societies, peer groups, CMS Contractors and/or stakeholders and ...

... for Medicare claims review determinations and national coverage and payment issues under the ... Interacts with/presents to medical societies, peer groups, CMS Contractors and/or stakeholders and ...

... for Medicare claims review determinations and national coverage and payment issues under the ... Interacts with/presents to medical societies, peer groups, CMS Contractors and/or stakeholders and ...

Maintain compliance with CMS regulations and Medicare Administrative Contractor (MAC) requirements. Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ...

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Independent Medicare Agent (Remote)

Pittsburgh, PA ยท Remote

$104K - $136K/yr

Strong command of CMS Medicare Communications and Marketing Guidelines * Established lead sources or strong community presence * Experience with modern CRM and quoting platforms Healthpilot is an ...

Medicare Sales Agent

Charlotte, NC ยท Remote

$50K - $150K/yr

1099 Medicare Sales Agent - Position Title: Independent Medicare Sales Agent (with leads in your ... Maintain compliance with CMS and carrier regulations * Complete applications accurately and submit ...

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Independent Medicare Agent (Remote)

Fort Worth, TX ยท Remote

$104K - $136K/yr

Strong command of CMS Medicare Communications and Marketing Guidelines * Established lead sources or strong community presence * Experience with modern CRM and quoting platforms Healthpilot is an ...

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Cms Medicare information

See salary details

$5

$17

$23

How much do cms medicare jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for cms medicare in the United States is $17.22, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $19.23 per hour, depending on experience, location, and employer.

What are some common challenges faced by professionals working in CMS Medicare roles, and how can they be addressed?

Professionals in CMS Medicare roles often encounter challenges such as navigating complex regulatory guidelines, staying current with frequent policy updates, and managing large volumes of sensitive data. To address these challenges, it is important to engage in ongoing training, collaborate closely with compliance and legal teams, and utilize robust data management tools. Strong communication skills and adaptability are also key in ensuring effective coordination with other departments and meeting organizational goals.

What is the difference between Cms Medicare vs Medical Billing Specialist?

AspectCms MedicareMedical Billing Specialist
CertificationsCMS certifications, Medicare trainingCertified Medical Billing Specialist (CMBS), CPC
Work EnvironmentHealthcare agencies, government officesMedical offices, billing companies
Industry UsageGovernment healthcare programs, Medicare claims processingPrivate healthcare providers, insurance billing
Job FocusAdministering Medicare policies, claims processingSubmitting and managing medical claims, coding

While Cms Medicare professionals focus on administering Medicare policies and processing claims for the government program, Medical Billing Specialists handle a broader range of medical billing tasks across various healthcare providers. Cms Medicare roles are more specialized in government regulations, whereas Medical Billing Specialists work in diverse healthcare settings with different insurance types.

What are CMS Medicare jobs?

CMS Medicare jobs refer to positions within the Centers for Medicare & Medicaid Services (CMS) that focus on administering and overseeing the Medicare program. These roles can include policy analysts, healthcare specialists, program managers, and IT professionals, all dedicated to ensuring the effective delivery of healthcare benefits to Medicare recipients. Employees may work on tasks such as policy development, regulatory compliance, data analysis, and program evaluation. These jobs play a crucial role in shaping national healthcare policies and improving the quality of care for millions of Americans.

What are the key skills and qualifications needed to thrive as a CMS Medicare Specialist, and why are they important?

To thrive as a CMS Medicare Specialist, you need a comprehensive understanding of Medicare regulations, healthcare policy, and compliance standards, usually backed by a relevant degree or experience in healthcare administration. Familiarity with CMS systems, claims processing software, and data analysis tools is commonly required, alongside certification such as a Certified Professional in Healthcare Quality (CPHQ) being advantageous. Attention to detail, analytical thinking, and excellent communication skills help specialists interpret complex guidelines and interact with healthcare providers and beneficiaries. These skills ensure accurate administration of Medicare programs, regulatory compliance, and high-quality support for stakeholders.
More about Cms Medicare jobs
What cities are hiring for Cms Medicare jobs? Cities with the most Cms Medicare job openings:
What states have the most Cms Medicare jobs? States with the most job openings for Cms Medicare jobs include:
Infographic showing various Cms Medicare job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 83% Full Time, 12% Part Time, and 2% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $35,812 per year, or $17.2 per hour.

Regulatory & Quality Assurance Specialist (DME/CMS Compliance)

Astrix Inc

New Berlin, WI โ€ข On-site

$68K - $83K/yr

Full-time

Posted 21 days ago


Job description

Pay Rate Low: 68000 | Pay Rate High: 83000
Our client is a well-established global healthcare company focused on designing and manufacturing specialized medical devices for airway management, speech rehabilitation, and respiratory care.
Title: Regulatory & Quality Assurance Specialist (DME/CMS Compliance)
Location: New Berlin, WI
Schedule: 100% Onsite, Monday-Friday, 8:00 AM-5:00 PM)
Pay: $68,000-$83,000 +Annual Bonus (Based on experience level)
We are seeking a Regulatory & Quality Assurance Specialist to support regulatory compliance, quality systems, accreditation, and audit readiness for a growing Durable Medical Equipment (DME) business. This position is ideal for candidates with DMEPOS, CMS (Medicare/Medicaid), healthcare compliance, or accreditation audit experience. Candidates whose background is primarily in manufacturing QA may not be the best fit, as this role focuses on commercial healthcare regulatory compliance rather than manufacturing quality.
Key Responsibilities:
  • Manage regulatory compliance documentation and maintain audit-ready records.
  • Support DMEPOS accreditation applications, renewals, and CMS site visits.
  • Coordinate and prepare for CMS, accreditation, and external audits.
  • Maintain Quality Management System (QMS) documentation, SOPs, policies, and document control.
  • Assist with CAPA, non-conformance investigations, change controls, and internal audits.
  • Support transparency reporting and regulatory reporting requirements.
  • Partner with Legal, Compliance, and cross-functional teams to ensure compliance with FDA, HIPAA, Medicare/Medicaid, and state regulations.

Required Qualifications:
  • 3-5 years of Regulatory Affairs, Quality Assurance, or Compliance experience in the healthcare industry.
  • Experience with DMEPOS, CMS (Medicare/Medicaid), healthcare audits, accreditation, or regulatory compliance.
  • Working knowledge of Quality Management Systems (QMS) and U.S. healthcare regulations.
  • Experience supporting audits, documentation, CAPA, SOPs, and compliance reporting.
  • Strong organizational, analytical, and communication skills.
  • Proficiency with Microsoft Office; Brightree, SAP, and Salesforce are a plus.
  • Bachelor's degree preferred (High School Diploma/GED with relevant experience considered).

Preferred Experience:
  • Durable Medical Equipment (DME) industry experience.
  • CMS or Medicare/Medicaid audit preparation.
  • Accreditation readiness and site visit coordination.
  • Process improvement and project management experience.
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