Product Manager, Medicare Compliance

at  CorVel Healthcare Corporation

The Product Manager, Medicare Compliance is responsible to oversee the adherence to Section 111/ Mandatory Insurer Reporting (MIR) compliance. This position has the possibility for remote work from home or hybrid home/office arrangement. The Product Manager, Medicare Compliance provides assistance to internal and external customers to facilitate MIR compliance. Responsibility includes monitoring the Centers for Medicare & Medicaid (CMS) for issued notices and regulations related to MIR.

KNOWLEDGE & SKILLS:

• Proficient in Microsoft applications especially Excel and SharePoint
• Detail oriented
• Exceptional organizational skills
• Excellent written skills
• Excellent communication and presentation skills
• The ability to work independently and collaboratively with multiple departments
• The ability to work in a fast paced/production environment

EDUCATION/EXPERIENCE:

• Bachelor’s degree
• Experience in Medicare Secondary Payer Compliance
• Experience within the insurance industry, managed care or related field preferred

• Ensures claims Section 111 / Mandatory Insurer Reporting (MIR) are correctly completed and submitted to CMS within CMS issued guidelines
• Provide ongoing MIR compliance education and training to internal and external customers
• Trouble-shoot reporting errors and questions with internal and external customers
• Facilitate system enhancements to MIR platform
• Chairs Mandatory Insurer Reporting quarterly task force
• Maintain current tracking of MIR customers and profile reports
• Responsible to identify and facilitate timely implementation changes to adhere to current CMS regulations related to MIR
• Assure current MIR knowledge compliance via regular review of CMS websites and attend CMS/ industry hosted webinars and meetings to
• Requires punctual and consistent attendance
• Maintain HIPAA compliance in all aspects of communications
• Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
• Additional duties as assigned