Regulatory Compliance Manager - Medicare Secondary Payer jobs in United States
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Axiom · 5 hours ago

Regulatory Compliance Manager - Medicare Secondary Payer

Axiom is transforming the legal services landscape by delivering innovative solutions. They are seeking a Regulatory Compliance Manager to lead and manage regulatory compliance operations with a primary focus on Medicare Secondary Payer compliance, ensuring effective communication and collaboration across teams.

ComplianceConsultingLaw EnforcementLegalProfessional Services

Responsibilities

Lead and oversee a sustainable, enterprise-wide Medicare Secondary Payer (MSP) compliance program, including:
Evaluating and maintaining Medicare Responsible Reporting Entity (RRE) IDs
Managing claims data collection and reporting across multiple claims systems
Monitoring reporting accuracy, error rates, and corrective actions
Implement and maintain processes for:
Creation and ongoing management of RRE IDs
Training, guidance, and oversight to ensure personnel awareness of MSP data collection and reporting requirements
Ensure segment teams, operating units, and corporate leadership receive timely and accurate information regarding:
Medicare reporting activities
Compliance deficiencies
Corrective action plans
Monitor legal and regulatory developments related to MSP compliance and update the compliance program accordingly
Conduct regular meetings with segment teams, operating unit personnel, and corporate leadership to:
Maintain effective working relationships
Assess program understanding
Identify areas for improvement and implement action plans
Effectively communicate new legislation and regulatory requirements impacting the business
Collaborate on and support enterprise-wide initiatives related to in-scope compliance work
Assist with other Corporate Compliance responsibilities as assigned

Qualification

Medicare Secondary Payer complianceCommercial insurance experienceRegulatory compliance managementLeadership capabilitiesAnalytical skillsLegal research platformsMicrosoft Office proficiencyPeople managementCommunication skillsDetail-orientedWork independently

Required

Bachelor's degree required; Juris Doctor (JD) or equivalent strongly preferred
7+ years of commercial insurance experience
7+ years of compliance-related experience, including MSP compliance
Demonstrated experience managing Medicare Secondary Payer compliance programs
Ability to lead teams with varied backgrounds across multiple locations
Strong analytical skills with the ability to exercise sound professional judgment

Preferred

Professional compliance or insurance-related designations
Experience using legal and regulatory research platforms such as Westlaw, LexisNexis, or Wolters Kluwer
Prior experience working in enterprise or multi-operating-unit environments
Proficiency in Microsoft Office (Word, Excel, Outlook, Teams, SharePoint)
Highly detail-oriented, organized, and able to meet time-sensitive deadlines
Strong written and verbal communication skills
Ability to work independently with minimal supervision
Proven people-management and leadership skills
Comfortable operating in project-based, fast-paced environments
Willingness to travel occasionally as required

Benefits

Health benefits
401K
Professional development resources
Learning and development programs

Company

Axiom is where high-caliber legal talent meets full-service law firm work.

Funding

Current Stage
Late Stage
Total Funding
$28M
Key Investors
Permira
2019-09-06Corporate Round
2013-02-06Series Unknown· $28M

Leadership Team

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David McVeigh
Chief Executive Officer
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CJ Saretto
Chief Technology Officer
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Company data provided by crunchbase