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
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
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
Apply NowSimilar Jobs
🕒 March 13
BeOne Medicines
10,000+ employees
Associate Director of Compliance at BeOne Medicines, ensuring adherence to compliance standards in North America. Collaborating with teams and driving compliance initiatives across the organization.
🕒 March 12
Regulatory Affairs Manager leading U.S. regulatory strategy for healthcare software products, focusing on FDA 510(k) submissions and compliance.
🕒 March 11
Support the design and enhancement of the Third Party Risk Management program at Anchorage Digital. Contribute to executing due diligence and ongoing monitoring risk assessments.
🇺🇸 United States – Remote
💰 $350M Series D on 2021-12
⏰ Full Time
🟡 Mid-level
🟠 Senior
🚔 Compliance
🦅 H1B Visa Sponsor
🕒 March 10
Risk and Compliance Specialist monitoring compliance with payment regulations. Supporting fraud prevention and assisting in strengthening operational processes at Givelify.
🕒 March 10
Compliance Consultant providing health & welfare compliance guidance and support for diverse clients navigating regulations. Focus on ERISA, COBRA, ACA, and more while building trusted relationships.
