Centivo logo
Centivo

A new kind of healthcare company committed to restoring affordability for American workers and their employers

Claims Compliance Manager

ComplianceComplianceFull TimeRemoteSeniorTeam 201-500Since 2017H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

1 day ago

Salary

$115K - $125K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Own and execute all CMS Section 111 mandatory insurer reporting obligations • Manage RxDC reporting under the CAA • Prepare and submit annual PCORI fee filings • Administer the Gag Clause Prohibition Attestation process • Develop and maintain Preferred Networks disclosures • Serve as the internal SME on No Surprises Act compliance • Monitor and maintain compliance workflows

Job Requirements

  • 5 years of experience in health care compliance
  • Expertise with CMS Section 111 reporting
  • Knowledge of ERISA, ACA, HIPAA, and CAA
  • Experience drafting or reviewing SPDs and SBCs
  • Proficiency with Microsoft Office Suite
  • Understanding of self-funded health plans.

Benefits

  • Offers Equity
  • Offers Bonus

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