Policy Specialist

Job not on LinkedIn

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $90k - $100k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👻 Ghost score 0%

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Chickasaw Nation Industries, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1996

🎖️ Defense

🏭 Manufacturing

📦 Logistics

Defense • Manufacturing • Logistics

Chickasaw Nation Industries, Inc. is a Chickasaw Nation–owned government contracting and commercial company that operates a portfolio of subsidiaries delivering manufacturing and fabrication, technology-based solutions, infrastructure and engineering, transportation, and business services for federal and commercial customers. The company is 8(a) and HUBZone certified, holds ISO 9001 and CMMI-DEV V2. 0 ML3 certifications, employs over 1,500 people across the U. S. , and focuses on integrated solutions for federal operations and commercial manufacturing.

📋 Description

• Review and implement policy guidelines related to Coordination of Benefits and MSP recovery work under the BCRC contract • Review and provide feedback on Standard Operating Procedure and BCRC letter changes • Participate in major functional user groups • Provide technical expertise and guidance to ensure compliance with applicable statutes, regulations, and CMS policies • Collaborate with Training Staff, SOP Specialists, Compliance Officers, and auditors to ensure procedural uniformity and regulatory adherence • Work with CMS regarding policy issues and questions • Provide input regarding Technical Direction, Letters, Joint Operating Agreements (JOAs), and CMS Change Requests • Identify trends and recommend process improvements • Pursue continued process improvements while ensuring compliance with the BCRC Statement of Work • Maintain confidentiality and uphold privacy, data integrity, and security standards • Adhere to qualitative and quantitative standards established to meet contractual obligations and changing business requirements • Report unsafe conditions or practices to the appropriate supervisor and human resources

🎯 Requirements

• Must be able to obtain and maintain the required customer clearance • Must be able to pass a customer background check • Requires U.S. Citizenship or Permanent Resident (Green Card) status • Ability to multi-task effectively in a dynamic and fast-paced environment • Strong analytical skills with the ability to assess issues and develop appropriate resolutions • Extensive experience interpreting CMS Coordination of Benefits (COB) and Medicare Secondary Payer (MSP) recovery policies • In-depth knowledge of CMS Internet-Only Manual (IOM) guidelines for MSP Recovery and Medicare laws and regulations, including HIPAA • Operational understanding of Medicare policies, procedures, and MSP-related systems such as ReMAS, CWF/HIMR, ECRS, HIGLAS, BCRS, and image repositories • Proficient in Microsoft Office Suite, including Word, Excel, PowerPoint, and Access • Strong organizational, analytical, problem-solving, and critical-thinking abilities • Excellent written and verbal communication skills • Ability to communicate complex information concisely to individuals with varying levels of expertise • Demonstrated skill in fostering teamwork and coordinating efforts • Proven ability to constructively resolve conflicts, grievances, and disagreements • Experience developing, documenting, and implementing approved procedural changes • Strong project and time-management skills • Ability to handle confidential and sensitive information with discretion • Capable of working independently and collaboratively within a team • Ability to travel and work between 6:00 a.m. and 7:00 p.m. as needed • Bachelor’s degree and a minimum of 8+ years’ relevant experience with MSP Recovery, or equivalent combination of education/experience

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Company life insurance • Short-Term and Long-Term Disability Insurance • 401(k) with immediate vesting • Professional Development Assistance • Legal Aid Assistance Program • Family Planning / Fertility Assistance • Personal Time Off • Observance of Federal Holidays • Employee Assistance Program (EAP) • Training and Development Opportunities