[Hiring] Planner @IME RESOURCES LLC

Role Description

Are you a detail-oriented analyst looking for a high-autonomy, work-from-home role? Join our team as a Remote Medicare Set-Aside (MSA) Planner. In this position, you will work independently from your home office to analyze complex medical records, forecast future healthcare needs, and craft critical MSA Allocations. You will act as a trusted expert, collaborating virtually with attorneys, accounts, and internal teams to deliver high-quality, compliant reports.

What You Will Do

• Analyze & Forecast: Review comprehensive health data and medical records to project future medical needs using established medical standards of care.
• Ensure Compliance: Protect client interests by aligning all reports with federal CMS requirements, state mandates, and URAC guidelines.
• Collaborate & Consult: Partner directly with legal teams, accounts, and internal management to communicate findings and provide regulatory insight.
• Drive Quality: Maintain top-tier quality scores by utilizing exceptional critical thinking, problem-solving, and analytical skills.
• Continuous Growth: Participate in virtual orientation, training sessions, and strategic management meetings to stay ahead of industry changes.

Qualifications

• Industry Expertise: Strong knowledge of the disability and workers' compensation industry, with a deep understanding of Medicare rules and regulations.
• Technical Skills: Proficiency with modern digital tools, including Microsoft Office (Word, Outlook, Excel) and web-based research.
• Communication Power: Exceptional English verbal and written skills, with a sharp eye for grammar, punctuation, and style.
• Work Ethic: A proven ability to work independently, prioritize heavy workloads, multitask under pressure, and manage unexpected changes smoothly.
• Professionalism: Absolute commitment to data confidentiality, reliability, and fostering a positive, team-oriented environment.

Requirements

• Required: Minimum of 1 year of direct experience writing Medicare Set-Asides (MSAs).
• Preferred: Associate degree or equivalent professional certification.
• Preferred: 1+ years of experience in workers' compensation or medical case management.

Certificates, Licenses, Registrations

• Will recognize any of the following: Active unrestricted Nursing license (including but not limited to RN, NP LVN, LPN).
• Active unrestricted Adjuster license.
• Certification in Medicare Set Asides and/or certifications in Life Care Planning or Legal Nurse Consulting.

Benefits

• Equal Opportunity Employer: ExamWorks, LLC is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.
• Equal Opportunity Employer - Minorities/Females/Disabled/Veterans.