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Medicare Programs Specialist 1

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Job Description - Medicare Programs Specialist 1

Join the Team Modernizing Medicine

At ModMed, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired doctors and taught them how to code. This "for doctors, by doctors" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care.

A Culture of Excellence

When you join ModMed, you’re joining an award-winning team recognized for innovation and employee satisfaction.   From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes:

  • Consistently ranked as a Top Place to Work

  • 2025 Globee Business Awards: Gold Globee for “Technology Team of the Year”

  • 2025 Black Book Awards: Ranked #1 EHR in 11 Specialties

  • Florida Venture Forum: Venture-Backed Company of the Year

We are growing fast, thinking big, and we are just getting started.

Ready to modernize medicine with us?

Job Description Summary:

The MIPS Specialist will provide responses and high-level assistance to non-MIPS Advising customers for escalated MIPS cases submitted by the Support Team.

Role & Responsibilities:

  • Provide consistent, professional, and high-quality client support responses and assistance for compliance-related topics, especially MIPS
  • Follows established procedures to ensure client satisfaction and quality service delivery
  • Communicate customer responses in an efficient and effective manner 
  • Answers Tier 2 and 3 escalated MIPS questions assigned by Support
  • Identify the difference between when to provide an answer to the customer and/or suggest MIPS Advising or a MIPS compliance-related Q&A
  • Assist the MIPS Advising team with needed tasks
  • Collaborates with the internal Compliance team to fulfill customer requests related to regulatory and documentation requirements, including but not limited to SOC 2 reports, audit logs, vendor certification letters

Skills & Requirements:

  • Bachelor's degree preferred
  • Excellent written communication skills required
  • Demonstrated expertise in evaluating, troubleshooting, and following up on customer issues
  • Experience within a medical practice and/or EMR experience is a plus
  • Basic knowledge of Apple platforms: Mac, iPad, iPhone/iPad iOS
  • Knowledge of bug-tracking software such as Salesforce and Jira
  • Excellent interpersonal, verbal, and organizational skills
  • Ability to effectively prioritize and manage time
  • Willingness to stay current and adapt to changes

ModMed Benefits Highlight:  At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:

United States

  • Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution,
  • 401(k):  ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
  • Generous Paid Time Off and Paid Parental Leave programs,
  • Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,
  • Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed,
  • Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,
  • Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
  • Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.

PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address ([email protected]). Please check senders’ email addresses carefully.  Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.

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