Medicare Carrier Portal & Compliance Specialist Americas Choice Insurance Agency Deerfield Beach, FL Job Details Full-time $45,000 - $60,000 an hour 3 hours ago Qualifications Data integrity assurance Data quality checks Medicare Interpersonal skills CMS Incident Escalation CMS regulatory compliance Health insurance knowledge Data management Medicare regulations Attention to detail CRM system proficiency Life & Health Insurance License Escalation handling Full Job Description Job Overview Our Medicare insurance agency is looking for a detail-oriented specialist who is fully comfortable navigating multiple carrier agent/broker portals and CMS systems. This role is responsible for verifying enrollment and eligibility status through MARx (Medicare Advantage Prescription Drug) checks, maintaining accurate policy and commission records, and ensuring our agency stays compliant with CMS marketing, enrollment, and documentation rules. This is a back-office, detail-heavy role critical to keeping our book of business clean and audit-ready. Key Responsibilities Log into and navigate agent/broker portals across multiple Medicare Advantage and Part D carriers (e.g., UnitedHealthcare, Humana, Aetna, Cigna, WellCare, and others as applicable) Perform routine MARx eligibility and enrollment status checks to confirm effective dates, enrollment status, LIS/subsidy status, and disenrollment or plan-change activity Cross-reference carrier portal data against internal CRM/agency records and flag discrepancies Update policy statuses (active, pending, terminated, disenrolled, etc.) across internal systems in a timely and accurate manner Monitor for and process Special Enrollment Period (SEP) and Annual Enrollment Period (AEP) activity, plan changes, and retroactive terminations Track and reconcile commission and book-of-business reports from carriers against internal records Maintain compliance with CMS Medicare Marketing and Communications Guidelines , including scope of appointment (SOA), enrollment application, and retention documentation requirements Identify and escalate compliance concerns (e.g., missing SOAs, enrollment discrepancies, potential rule violations) to management Maintain organized, audit-ready records of all portal activity and status changes Assist agents with portal access issues, application status inquiries, and enrollment troubleshooting Stay current on CMS rule changes, carrier portal updates, and annual guideline revisions Required Qualifications Prior experience working with Medicare Advantage and/or Part D carrier agent portals (multiple carriers preferred) Working knowledge of CMS MARx system or similar eligibility/enrollment verification tools Solid understanding of CMS Medicare compliance requirements (marketing guidelines, SOA rules, enrollment periods, retention requirements) Experience with policy/status tracking in a CRM or agency management system Strong attention to detail and comfort with repetitive, high-volume data verification work Ability to work independently, meet deadlines, and manage multiple carrier systems simultaneously Strong written communication skills for internal reporting and escalation Preferred Qualifications Previous experience at a Medicare-focused FMO, agency, or brokerage Active health/life insurance license (not required, but a plus) Familiarity with

AEP/OEP/SEP

enrollment cycles and timelines Experience with commission reconciliation across multiple carriers What Success Looks Like Carrier portal and MARx checks completed accurately and on a consistent schedule Minimal discrepancies between internal records and carrier data Compliance issues caught and escalated before they become audit findings Agents supported with fast, accurate status updates

Pay:

$45,000.00 - $60,000.00 per hour Expected hours: 30.0 - 40.0 per week

Work Location:

In person