Regulatory Compliance Manager - Medicare Secondary Payer
About Axiom: 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. Responsibilities:
- 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
Minimum Qualifications:
- 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
Preferred Skills:
- 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
Compensation, Benefits & Location: This role offers a range of competitive compensation starting at $130,000 and a highly competitive benefits package in the alternative legal services marketplace that includes health benefits, 401K and more. Axiomites also get access to professional development resources and learning and development programs. Axiomites predominately work remotely, with the exception that some clients require on-site presence. Axiom is the global leader in high-caliber, on-demand legal talent. Covering North America, the UK, Europe, and APAC, we enable legal departments to drive efficiency and growth and meet the demands of today’s business landscape with best in breed alterative legal services. Axiom is a leader in diversity, inclusion, and social engagement. Diversity is core to our values and we are proud to be an equal opportunity employer. We are proud to be named a best place to work for LGBTQ+ Equality, earning top marks in the 2021 Corporate Equality Index for the second consecutive year. Axiom’s legal department is Mansfield certified and is committed to considering at least 50% diverse candidates for leadership roles and outside counsel representation. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Equal Opportunity Employer: Axiom ensures equal employment opportunity in recruitment and employment, without discrimination or harassment on the basis of race, color, nationality, national or ethnic origin, religious creed or belief, political opinion, sex, gender reassignment, pregnancy or maternity, age, disability, alienage or citizenship status, marital (or civil or other partnership recognized by law) status, genetic predisposition or carrier status, sexual orientation, military service, or any other characteristic protected by applicable law. Axiom prohibits and will not tolerate any such discrimination or harassment. Accommodation for Individuals with Disabilities: Upon request and consistent with applicable laws, Axiom will provide reasonable accommodations for individuals with disabilities who require an accommodation to participate in each stage of the recruitment process. To request an accommodation to complete the application form, please contact us at [email protected] and include “Applicant Accommodation” in the subject line. Axiom respects your privacy. For an explanation of the kind of information we collect about you and how it is used, our full privacy notice is available at https://www.axiomlaw.com/privacy-notice. Employment with Axiom may be contingent upon successful completion of a background check, providing proof of identity, and possessing the necessary legal authorization to work. By submitting an application, you acknowledge that all information contained therein, and provided at any part of the application process, is correct and accurate to the best of your knowledge. #LI-AG1 Apply tot his job Apply To this Job