The Product Manager, Medicare Compliance is responsible to oversee the adherence to Section 111/ Mandatory Insurer Reporting (MIR) compliance.
This position has the possibility for remote work from home or hybrid home/office arrangement.
The Product Manager, Medicare Compliance provides assistance to internal and external customers to facilitate MIR compliance.
Responsibility includes monitoring the Centers for Medicare & Medicaid (CMS) for issued notices and regulations related to MIR.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Ensures claims Section 111 / Mandatory Insurer Reporting (MIR) are correctly completed and submitted to CMS within CMS issued guidelines
Provide ongoing MIR compliance education and training to internal and external customers
Trouble-shoot reporting errors and questions with internal and external customers
Facilitate system enhancements to MIR platform
Chairs Mandatory Insurer Reporting quarterly task force
Maintain current tracking of MIR customers and profile reports
Responsible to identify and facilitate timely implementation changes to adhere to current CMS regulations related to MIR
Assure current MIR knowledge compliance via regular review of CMS websites and attend CMS/ industry hosted webinars and meetings to
Requires punctual and consistent attendance
Maintain HIPAA compliance in all aspects of communications
Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
Additional duties as assigned
KNOWLEDGE & SKILLS:
Proficient in Microsoft applications especially Excel and SharePoint
Detail oriented
Exceptional organizational skills
Excellent written skills
Excellent communication and presentation skills
The ability to work independently and collaboratively with multiple departments
The ability to work in a fast paced/production environment
EDUCATION/EXPERIENCE:
Bachelor’s degree
Experience in Medicare Secondary Payer Compliance
Experience within the insurance industry, managed care or related field preferred
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.
Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.
) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $94,745 – $159,206
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
About CorVel
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991.
Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.
We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.
Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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