ExamWorks

MMSEA Compliance Manager (31578)

ExamWorks  •  $65k - $72k/yr  •  Lawrenceville, GA (Onsite)  •  3 months ago
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Job Description

Job Location: Lawrenceville, GA 30043
Position Type: Full Time
Salary Range: $65,000.00 - $72,000.00 Salary/year
Travel Percentage: 10%TITLE: MMSEA Compliance Manager                                       FLSA CODE: Non Exempt
DEPARTMENT: IT                                                                              EEO JOB CATEGORY:  First/Mid-Level Officials
and Managers
REPORTS TO: Manager of Reporting Services                     SOC CODE: 13-1190
SUMMARY
The MMSEA Compliance Manager is responsible to manage client registration, implementing and training for CMS Mandatory Insurer Reporting. This positon serves as the MMSEA subject matter expert and ensures all services are completed with the highest level of integrity and that all work is in full compliance with client contractual agreements, regulatory agency standards and/or federal and state mandates.
MINIMUM REQUIRED QUALIFICATIONS
ESSENTIAL JOB FUNCTIONS
- Interact and manage over 100 clients regarding registration and implementation processes, and continuous training for CMS Mandatory Insurer Reporting.
- Serve as the MMSEA Subject Matter Expert
- Analyze client data for compliance.
- Conduct conference calls and webinars for client training.
- Travel to client sites for training sessions, as needed.
- Conduct follow-up calls and emails with clients.
- Maintain client information in company systems.
- Adhere to corporate and departmental policies and procedures, including HIPAA requirements.
- Adhere to all safety, health rules/regulations and security associated with this position and as directed by supervisor.
- Provide various client reporting support as needed.
- Regularly communicate with management and promotes effective and efficient utilization of business resources.
- Perform other duties as assigned by management.

Qualifications
- Must have prior Property & Casualty and/or Workers’ Compensation Industry experience; Understanding of CMS Medicare Secondary Payer Act and associated products/solutions preferred.
- Prior EDI, database and project management software experience useful.
- Must be proficient in multiple software programs, including, but not limited to, Microsoft Word, Outlook, Excel spreadsheets, Access, PowerPoint, and the Internet.
- Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers, decimals, fractions, hours & minutes, and possess the ability to compute rates and percentages.
- Ability to follow instructions and respond to managements’ directions accurately.
- Demonstrate accuracy and thoroughness. Look for ways to improve and promote quality and monitors own work to ensure quality is met.
- Must demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
- Must be able to work independently, prioritize work activities and use time efficiently.
- Must be able to maintain confidentiality.
- Must be able to demonstrate team behavior and promote a team-oriented environment.
- Must be able to stay focused and concentrate in close quarters under normal or heavy distractions; must be able to work well under pressure and or stressful conditions.
- Ability to manage change, delays, or unexpected events.
- Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.
Education and/or Experience
High School Diploma or equivalent required; Bachelor’s degree preferred. A minimum two years of experience in Property & Casualty and/or Workers’ Compensation Industry experience required. Prior EDI, database and project management software experience preferred.
Who We Are:
ECS was formed in 2014 from the acquisition and consolidation of two pillars within the Medicare Secondary Payer (MSP) compliance industry: Gould & Lamb, providers of MSP compliance and reporting services, and MedAllocators/Ability Services Network, a national provider of MSP compliance and case management. Launched as Examworks Clinical Solutions, the new company offered unprecedented, integrated services aimed at managing high dollar complex Medicare, medical, and pharmaceutical claims. In May 2020, the organization name was changed to ExamWorks Compliance Solutions. A single word change, but one that truly reflects the core of what is offered by ECS. Today, our mission remains focused on providing the most comprehensive, creative, and customizable compliance and
reporting solutions for the marketplace.
Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.
Equal Opportunity Employer - Minorities/Females/Disabled/Veterans
ExamWorks Compliance Solutions offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.
ExamWorks

About ExamWorks

The ExamWorks Group platform, family company services, applications and portals for the management of independent medical claim review are the assets of choice among claims professionals. Our global service network and private cloud-based computing platform connects medical professionals, case managers, and claimants to property, casualty, and disability insurers, third-party administrators, and legal professionals so they can provide evidence-based independent expert medical opinions and analysis for claims resolution. Secure, streamlined, automated, customized, independently audited and accredited workflows assist clients to manage costs by verifying the validity, nature, cause, and extent of claims, identifying fraud and providing fast, efficient and quality IME services.

Industry
Finance & Insurance
Company Size
501-1,000 employees
Headquarters
Atlanta, GA
Year Founded
2008
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