Medicare Compliance Director

Under the direction of the Vice-President of Claim Operations, manages the Broadspire SCHIP Production Operations & MSP Compliance.

Ensures that quality products and services are delivered.

Serves as the primary business process subject matter expert on Medicare Compliance.

Salary Details:

$69,139.98 - $126,418.69/Annually


* Completion of a college or university degree in information systems, business administration or insurance or related field and 7 years experience in insurance or information systems, and 5 years project or general management experience or an equivalent combination of training and experience that would produce the following knowledge, abilities, and skills.


* Demonstrates a sound knowledge of basic business principles.


* Demonstrates the ability to plan projects and manage resources to ensure successful results.


* Learns and changes quickly to respond to changing opportunities in the marketplace.


* Understands the impact of decisions, actions, and technology on Broadspire's and customers business systems.


* Excellent understanding of process and systems flow.


* Displays excellent interpersonal skills.


* Displays excellent presentation and training skills.


* Displays ownership in business relationships and assignments.


* Ability to clearly present information through the spoken or written word; reads and interprets complex information; talk with customers or clients; listens well.


* Ability to stay well informed of current industry trends; learn and apply new concepts and identifies own areas of opportunity and sets and monitors self development goals.


* Ability to demonstrate a high level of service delivery; do what is necessary to ensure customer satisfaction; deals with service failures and prioritizes customer needs.


* Ability to challenge conventional practices; adapt established methods for new uses; pursues ongoing system improvement; develops new ideas to create novel solutions to problems; evaluates new technology as potential solutions to existing problems.


* Demonstrates or models behavior that rallies others around a common cause and builds a shared sense of purpose.

Coaches and mentors others to develop their business competencies and technical skills.

Provides support without removing responsibility.


* Ability to develop rapport with others and recognize their concerns and feelings; builds and maintains long term associations based on trust; helps others.


* Automotive and/or air travel (20% - 25% of the time) may be required in the first year of employment.


* Must complete continuing education requirements as outlined by Crawford Educational Services

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* Leads and manages a unit of individuals who provide services supporting the various aspects of SCHIP data transmissions and MSP Compliance.


* Manages the Broadspire CMS Account managers and error report processors who are responsible for assisting account ma...