Medicare Compliance Specialist
Company: VirtualVocations
Location: Denver
Posted on: January 31, 2025
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Job Description:
A company is looking for a Claims Medicare and Regulatory
Compliance Specialist.
Key Responsibilities
Conducts assessments of business processes and state requirements
to enhance operational efficiency and compliance
Delivers actionable reports and analysis to stakeholders,
identifying trends and root causes
Manages regulatory oversight activities, including market conduct
exams and compliance with CMS reporting requirements
Required Qualifications
Bachelor's Degree in a related field or equivalent business
experience
5+ years of related claims experience, particularly in quality or
compliance oversight
Experience with CMS Section 111 reporting and identifying missing
eligibility data
Applicable claims, compliance, risk, and/or legal designations are
desirable
Proficient in developing workflows for compliance reporting and
monitoring processes
Keywords: VirtualVocations, Colorado Springs , Medicare Compliance Specialist, Other , Denver, Colorado
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