Centivo
201 - 500 employees
Founded 2017
⚕️ Healthcare Insurance
Healthcare Insurance
Centivo is an innovative health plan provider for self-funded employers that focuses on delivering high-quality healthcare at an affordable cost. The company believes in the power of primary care to improve health outcomes and reduce costs. Centivo offers plans with free primary care, no deductibles, and low, predictable copays, thereby encouraging members to utilize their health benefits without financial burden. The plans are curated to meet stringent price and quality standards, promoting a strong relationship with primary care providers and integrating virtual care options. Centivo's approach is designed to reduce overall medical expenses while enhancing the healthcare experience for both employers and employees.
Claims Compliance Manager
Job not on LinkedIn
🕒 March 18
🇺🇸 United States – Remote
💵 $115k - $125k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🚔 Compliance
🦅 H1B Visa Sponsor
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Centivo
201 - 500 employees
Founded 2017
⚕️ Healthcare Insurance
Healthcare Insurance
Centivo is an innovative health plan provider for self-funded employers that focuses on delivering high-quality healthcare at an affordable cost. The company believes in the power of primary care to improve health outcomes and reduce costs. Centivo offers plans with free primary care, no deductibles, and low, predictable copays, thereby encouraging members to utilize their health benefits without financial burden. The plans are curated to meet stringent price and quality standards, promoting a strong relationship with primary care providers and integrating virtual care options. Centivo's approach is designed to reduce overall medical expenses while enhancing the healthcare experience for both employers and employees.
📋 Description
• Own and execute all CMS Section 111 mandatory insurer reporting obligations • Manage RxDC reporting under the CAA • Prepare and submit annual PCORI fee filings • Administer the Gag Clause Prohibition Attestation process • Develop and maintain Preferred Networks disclosures • Serve as the internal SME on No Surprises Act compliance • Monitor and maintain compliance workflows
🎯 Requirements
• 5 years of experience in health care compliance • Expertise with CMS Section 111 reporting • Knowledge of ERISA, ACA, HIPAA, and CAA • Experience drafting or reviewing SPDs and SBCs • Proficiency with Microsoft Office Suite • Understanding of self-funded health plans.
🏖️ Benefits
• Offers Equity • Offers Bonus
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