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Medicare Aca Jobs in Illinois (NOW HIRING)

Amplify HR

Group Health Benefits Analyst

Northbrook, IL · Hybrid

$70K - $90K/yr

Ensure compliance with ERISA, ACA, COBRA, Medicare Secondary Payor, HIPAA, and other relevant benefits regulations. Monitor industry trends, legislative updates, and competitive benchmarking to ...

SS&C

Legal Counsel - Healthcare/PBM

Chicago, IL · Hybrid

$100K - $175K/yr

Experience with Medicaid, Medicare, Medicare Advantage, Medicare Part D, Medigap, EGWP, SNPs, PACE, CHIP, ACA, and other government sponsored health plan contracting and/or regulations is a plus

UNITE HERE HEALTH

Claims Adjudicator III

Oak Brook, IL · On-site

$23.79 - $29.13/hr

Understanding of Medicare, Medicaid, ACA, DOL regulations, ERISA and HIPAA Education, Licenses, and Certifications * High School Diploma or GED * College degree preferred or equivalent work ...

AArete

Consultant, Payment Intelligence

Chicago, IL

$49.50 - $67.75/hr

Foundational knowledge ofclaims processing across multiple lines of business, including Medicare, Medicaid, ACA/Marketplace, Commercial, and Duals * Experience across variousspendareas, including ...

AArete

Consultant, Payment Intelligence

Chicago, IL · On-site

$49.50 - $67.75/hr

Foundational knowledge ofclaims processing across multiple lines of business, including Medicare, Medicaid, ACA/Marketplace, Commercial, and Duals * Experience across variousspendareas, including ...

AArete

Consultant, Payment Intelligence

Chicago, IL · On-site

$49.50 - $67.75/hr

Foundational knowledge of claims processing across multiple lines of business, including Medicare, Medicaid, ACA/Marketplace, Commercial, and Duals * Experience across various spend areas, including ...

AArete

Consultant, Payment Intelligence

Chicago, IL · On-site

$49.50 - $67.75/hr

Foundational knowledge of claims processing across multiple lines of business, including Medicare, Medicaid, ACA/Marketplace, Commercial, and Duals * Experience across various spend areas, including ...

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Medicare Aca information

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

To thrive as a Medicare ACA Specialist, you need in-depth knowledge of Medicare and Affordable Care Act regulations, strong analytical skills, and relevant licensure or certification such as a health insurance license. Familiarity with CMS systems, insurance enrollment platforms, and customer relationship management (CRM) software is commonly required. Excellent communication, attention to detail, and problem-solving abilities are important soft skills for assisting clients and managing complex cases. These skills ensure compliance, accurate guidance, and high-quality support for individuals navigating healthcare coverage options.

What are some common challenges faced by Medicare ACA specialists when assisting clients with plan selection?

Medicare ACA specialists often encounter challenges such as helping clients navigate complex eligibility requirements, explaining differences between various Medicare Advantage and ACA marketplace plans, and ensuring clients understand important deadlines. Additionally, specialists must stay up to date on frequent regulatory changes and guide clients through enrollment while addressing their unique healthcare needs. Effective communication and patience are key, as clients may have varying levels of understanding and specific questions about benefits and costs.

What is a Medicare ACA specialist?

A Medicare ACA specialist is a professional who helps individuals understand and navigate health insurance options available through Medicare and the Affordable Care Act (ACA). They assist clients in comparing plans, determining eligibility, enrolling in appropriate coverage, and answering questions about benefits and costs. Their expertise ensures that clients receive the best possible healthcare coverage based on their unique needs, particularly during open enrollment periods.

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

AspectMedicare AcaMedical Billing Specialist
Required CredentialsKnowledge of Medicare policies, certifications may varyCertification in medical billing or coding often preferred
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Employer & Industry UsageUsed in healthcare and insurance sectorsCommon in healthcare administration
Search & Comparison IntentUnderstanding Medicare policies vs billing processesBilling procedures vs Medicare coverage

Medicare Aca involves understanding Medicare policies and regulations, often requiring specific certifications. Medical Billing Specialists focus on processing insurance claims and billing procedures. While both roles operate within healthcare, Medicare Aca emphasizes policy knowledge, whereas Medical Billing Specialists concentrate on billing accuracy and claims management.

What are popular job titles related to Medicare Aca jobs in Illinois? For Medicare Aca jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Medicare Aca jobs in Illinois look for? The top searched job categories for Medicare Aca jobs in Illinois are:
What cities in Illinois are hiring for Medicare Aca jobs? Cities in Illinois with the most Medicare Aca job openings:
Medicare Aca jobs near you
Director of Individual Insurance Compliance & Regulatory Affairs

Director of Individual Insurance Compliance & Regulatory Affairs

Alera Group

Chicago, IL • Remote

$120K - $165K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Alera Group rating

9.0

Company rating: 9.0 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

34th of 258 rated insurance

Job description

OVERVIEW
Director of Individual Insurance Compliance & Regulatory AffairsAlera Group | Individual Insurance Segment
Alera Group is seeking a strategic and operationally focused compliance leader to oversee enterprise compliance and regulatory affairs across our growing Individual Insurance segment. This role will lead the development, implementation, and oversight of scalable compliance programs supporting Medicare Advantage, Medigap, Part D, ACA, and ancillary insurance products across a national distribution platform.
This is a highly visible leadership role responsible for strengthening regulatory governance, reducing enterprise risk, supporting audit readiness, and enabling sustainable growth through standardized and defensible compliance practices.
The ideal candidate brings deep expertise in Medicare and individual insurance compliance, strong regulatory knowledge, and experience building scalable compliance frameworks within complex, multi-site insurance or healthcare environments.
Why Join Alera Group
This is an opportunity to build and shape enterprise compliance strategy within a rapidly growing national organization. The Director of Individual Insurance Compliance & Regulatory Affairs will play a critical role in strengthening governance, enabling operational scalability, and supporting long-term growth across the Individual Insurance segment.
RESPONSIBILITIES
  • Lead enterprise compliance and ethics programs across all individual insurance product lines, including Medicare, ACA, Life, Dental, Vision, and supplemental products
  • Serve as the primary compliance leader for the Individual Insurance segment, partnering closely with executive leadership, Legal, Operations, Marketing, IT, and Carrier Relations
  • Monitor and interpret federal and state regulatory changes impacting Medicare and individual insurance products
  • Serve as primary contact for CMS-related compliance communications, audits, corrective actions, and regulatory inquiries
  • Develop and implement enterprise-wide compliance policies, standards, controls, and monitoring programs
  • Establish scalable compliance protocols aligned with regulatory requirements, carrier agreements, and operational best practices
  • Partner with business leaders and local agencies to identify compliance risks and implement corrective actions and remediation plans
  • Oversee compliance related to marketing, disclosures, consumer communications, consent requirements, and producer oversight
  • Lead compliance training, attestations, documentation standards, and audit readiness initiatives
  • Manage consumer complaint processes, investigations, and issue resolution efforts
  • Coordinate third-party audits, regulatory reviews, and compliance reporting activities
  • Partner with Legal and IT on privacy, data governance, and risk mitigation initiatives
  • Support integration and standardization efforts across a growing national platform
QUALIFICATIONS
  • 10+ years of compliance, regulatory affairs, risk management, or governance experience within insurance, healthcare, financial services, or related industries
  • Deep knowledge of Medicare Advantage, Part D, Medigap, ACA, and individual insurance regulatory environments
  • Strong understanding of CMS regulations, marketing guidelines, audit processes, and corrective action plans
  • Experience building and scaling compliance programs across decentralized or multi-site organizations
  • Proven success managing regulatory audits, investigations, remediation efforts, and operational compliance initiatives
  • Knowledge of state insurance regulations, licensing, and consumer protection requirements
  • Strong leadership, communication, and cross-functional partnership skills
  • Ability to translate complex regulatory requirements into practical operational processes and business controls
  • Bachelor's degree required; advanced degree or compliance-related certification preferred
ADDITIONAL INFORMATION
Compensation:
Salary range: $120,000 - $165,000 per year
Eligible for performance-based bonus: Yes
Benefits:
Alera Group offers comprehensive benefits including medical, dental, vision, life and disability coverage, 401(k), generous PTO, and more.
Work Model:
This role is Remote
Professional Development - Alera Group Academy
At Alera Group, growth isn't left to chance. Through Alera Group Academy, we provide structured development opportunities designed to help you expand your expertise and build a meaningful career.
You'll have access to:
  • Role-specific learning paths
  • Leadership development programs
  • Technical and compliance training
  • Industry certifications and continuing education support
  • Peer learning and knowledge-sharing communities
Whether you're deepening technical expertise or preparing for leadership, we're invested in helping you grow.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class.
Alera Group is committed to protecting your privacy. Please review our Privacy Policy to understand what personal information we may collect and use as part of your application process.
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Location Type
Remote

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