Medicare Compliance Specialist
A company is looking for a Claims Medicare and Regulatory Compliance Specialist.
Key Responsibilities
Oversee accurate and timely Section 111 reporting for Medicare
Collaborate with claims teams to identify and address gaps in claimant eligibility data
Develop and maintain workflows for CMS reporting, ensuring compliance with guidelines
Required Qualifications
Bachelor's Degree in a related field or equivalent business experience
5+ years of related claims experience in a quality or compliance oversight role
Applicable compliance, risk, and/or legal designations such as ARM, CRCMP, or similar
Preferred: JD or Paralegal certification
Process improvement certification (i.e., Six Sigma) and/or project management certification (i.e., PMP)
A company is looking for a Claims Medicare and Regulatory Compliance Specialist.
Key Responsibilities
Oversee accurate and timely Section 111 reporting for Medicare
Collaborate with claims teams to identify and address gaps in claimant eligibility data
Develop and maintain workflows for CMS reporting, ensuring compliance with guidelines
Required Qualifications
Bachelor's Degree in a related field or equivalent business experience
5+ years of related claims experience in a quality or compliance oversight role
Applicable compliance, risk, and/or legal designations such as ARM, CRCMP, or similar
Preferred: JD or Paralegal certification
Process improvement certification (i.e., Six Sigma) and/or project management certification (i.e., PMP)