Regulatory Compliance Manager - Medicare Secondary Payer

Axiom Talent PlatformIrving, TX
5d$130,000Remote

About The Position

Axiom is transforming the legal services landscape by delivering innovative solutions ranging from individual secondees to fully integrated project teams that combine top-tier talent with cutting-edge technology. Join our innovative talent community and help drive impactful legal solutions to complex problems in various industries. Job Description: 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.

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
  • Demonstrated experience managing Medicare Secondary Payer compliance programs
  • Ability to lead teams with varied backgrounds across multiple locations
  • Strong analytical skills with the ability to exercise sound professional judgment

Nice To Haves

  • Professional compliance or insurance-related designations
  • Experience using legal and regulatory research platforms such as Westlaw, LexisNexis, or Wolters Kluwer
  • Prior experience working in enterprise or multi-operating-unit environments
  • Proficiency in Microsoft Office (Word, Excel, Outlook, Teams, SharePoint)
  • Highly detail-oriented, organized, and able to meet time-sensitive deadlines
  • Strong written and verbal communication skills
  • Ability to work independently with minimal supervision
  • Proven people-management and leadership skills
  • Comfortable operating in project-based, fast-paced environments
  • Willingness to travel occasionally as required

Responsibilities

  • Lead and oversee a sustainable, enterprise-wide Medicare Secondary Payer (MSP) compliance program
  • 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

Benefits

  • health benefits
  • 401K
  • professional development resources
  • learning and development programs
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