Centivo Corporation is an insurance company on a mission to provide self-insured plan sponsors with better yet cost-effective benefits. As an employer, the comp
Claims Compliance Manager
Location
United States
Posted
89 days ago
Salary
$115K - $125K / year
Seniority
Senior
Job Description
Claims Compliance Manager
Centivo Corporation
• 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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