Compliance Manager
Danaher CorporationSalary not specified
Full Time
Entry Level & New Grad, Junior (1 to 2 years)
Not SpecifiedCompensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Insurance, RetailIndustries
Requirements
- Demonstrated expertise in workers’ compensation claims, including hands-on experience with complex settlements
Responsibilities
- Analyze the overall Medicare compliance program and its processes to ensure best-in-class operations while adhering to Medicare’s requirements and regulatory updates
- Lead Medicare compliance education for the organization and drive change management
- Manage Section 111 reporting by reviewing claims data to ensure all reportable claims are accurately and timely updated ahead of key quarterly reporting cycles and driving necessary corrections
- Lead Medicare compliance efforts and influence Walmart Claims Services to align with requirements by identifying insights and opportunities for improvement and facilitating corrective action
- Analyze data from the TPRA vendor and the claims system to surface key insights and partner with the TPRA vendor, claims teams, and systems teams to implement improvements and efficiencies
- Recognize overall performance gaps in the program and design enhancement strategies that account for all stakeholders
- Provide education, consultation, and strategic support to claims professionals on complex workers’ compensation settlements, including those involving structured annuities, professional administration, and Medicare Set-Asides (MSAs), to ensure alignment with regulatory requirements and internal protocols
- Collaborate with internal partners and the TPRA vendor and leverage program insights to develop and implement internal Medicare compliance educational programs for the organization
- Monitor regulatory and legal developments that require organizational change to mitigate risk and ensure ongoing compliance
- Analyze Medicare regulations and evaluate and implement internal processes to ensure compliance, including accurate reporting under Section 111, and striving to eliminate lien referrals to the U.S. Department of Treasury
- Collaborate with the TPRA vendor and legal counsel to evaluate changes in federal regulations and state statutes that impact risk and implement action plans to ensure compliance, including preventing penalties and interest related to reporting requirements or lien payment timeliness
- Demonstrate up-to-date expertise and apply it to the development, execution, and improvement of action plans by providing expert advice and guidance in the application of information and best practices; supporting and aligning efforts to meet customer and business needs; and building commitment for perspectives and rationales
- Provide and support the implementation of business solutions by building strong relationships and partnerships with key stakeholders; identifying business needs; determining and carrying out necessary processes and practices; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and adapting to competing demands, organizational changes, and new responsibilities
- Model compliance with company policies and procedures and support the company’s mission, values, and standards of ethics and integrity by incorporating these into the development and implementation of business plans; using the Open Door Policy; and demonstrating and assisting others with how to apply these in executing business processes and practices
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What is the employment type for this position?
This is a full-time position.
Is this role remote or does it require office work?
This information is not specified in the job description.
What key skills are needed for the Manager, Medicare Compliance Oversight role?
Expertise in Medicare compliance, data analysis from claims systems and TPRA vendors, and leading education and change management are essential. Strong abilities in regulatory monitoring, program oversight, and collaboration with vendors and internal teams are also required.
What is the company culture like at Walmart Claims Services?
This information is not specified in the job description.
What makes a strong candidate for this Medicare Compliance Oversight Manager role?
Candidates with demonstrated expertise in Medicare regulations, Section 111 reporting, workers’ compensation settlements, and change management, along with strong analytical and collaboration skills, will stand out.
Walmart
Global retail chain offering affordable products
About Walmart
Walmart operates a chain of hypermarkets, discount department stores, and grocery stores, providing a wide variety of products at low prices to everyday consumers, families, and communities. The company combines physical retail locations with an e-commerce platform, allowing customers to shop for groceries, apparel, electronics, and household items both in-store and online. Walmart's efficient supply chain management and large-scale purchasing enable it to maintain affordability, setting it apart from competitors. The company also offers financial services and health and wellness services, including pharmacies and vision centers. Walmart's goal is to save people money and support communities, as demonstrated by its efforts during the COVID-19 pandemic and its commitment to social responsibility, including programs for veterans and military families.
Bentonville, ArkansasHeadquarters
1962Year Founded
$5,515MTotal Funding
IPOCompany Stage
Financial Services, Consumer GoodsIndustries
10,001+Employees
Benefits
PTO: Paid vacation, sick time, personal time and holiday time
10% discount on regularly priced general merchandise and fresh fruits and vegetables
6% 401(k) match to all employees, including hourly workers, after one year
Roth IRA available
Associate Stock Purchase Plan
maximum and eligible preventive care covered at 100%
Health reimbursement plans
Risks
Rising U.S. labor costs could pressure profit margins.
Amazon's grocery delivery expansion threatens Walmart's market share.
Fintech investments expose Walmart to financial regulatory risks.
Differentiation
Walmart's omnichannel strategy integrates physical and online retail seamlessly.
The company offers a wide range of products at consistently low prices.
Walmart's commitment to community support enhances its brand reputation.
Upsides
Walmart's investment in fintech expands its financial services offerings.
Robotics integration in distribution centers boosts operational efficiency.
Culturally themed product lines attract diverse customer segments.
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