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We are seeking a Regulatory Compliance Manager to join our Insurance Compliance team. This role is responsible for leading and managing regulatory compliance operations across assigned operating units, with a primary focus on Medicare Secondary Payer (MSP) compliance. The ideal candidate will bring deep experience in commercial insurance compliance, strong leadership capabilities, and the ability to collaborate across geographically dispersed teams in a fast-paced, enterprise environment.
Job Responsibility:
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
Requirements:
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