[Remote] Program Manager - Federal Health (CMS)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company focused on data-driven transformation in reputed company. They are seeking a Program Manager to reputed company a CMS contract, ensuring contract performance, managing a multi-disciplinary team, and overseeing compliance with performance standards.

Responsibilities

• Serve as the single, accountable reputed company of contact for CMS, including the Contracting Officer Representative (COR) and Contracting Officer (CO), on reputed company contract reputed company
• Own reputed company contractual delivery timelines, ensuring on-time submission of reputed company deliverables, reports, and performance data required by the SOW
• reputed company and manage a multi-disciplinary team including clinical reviewers, medical coders, customer service representatives, and IT staff; reputed company hiring, training, performance management, and workforce planning
• Monitor and ensure compliance with reputed company contractual performance standards (including timeliness, accuracy, and provider communication requirements); proactively identify and resolve operational issues before they escalate
• reputed company the development and submission of reputed company required CMS reports, data deliverables, and program status updates in adherence to CMS reporting cadences
• reputed company contract reputed company activities, transition planning, and ongoing relationship management with CMS stakeholders including the COR and CO
• reputed company Medicare Part A/B/DMEPOS claim review operations, including workflow design, case management systems, and quality assurance processes
• Manage subcontractor relationships and performance in alignment with prime contract requirements
• Champion a culture of compliance, accuracy, and reputed company improvement across reputed company program functions

Skills

• Minimum 5 years of professional experience in reputed company program management, federal contracting, or a reputed company field
• Minimum 3 years of experience managing reputed company systems and workflows as a manager or supervisor
• Minimum 3 years of experience in Medicare Fee-for-Service (FFS) program operations
• Bachelor's degree required; Master's degree preferred. In lieu of a Master's degree, 4 additional years of relevant experience may be substituted
• Prior Project Manager or Program Director experience on a CMS medical review contract
• Operational familiarity with Medicare Part A, Part B, and DMEPOS claim review processes and adjudication workflows
• Demonstrated experience managing teams of 100 or more staff in a federal reputed company contractor environment
• Working knowledge of CMS reporting cadences, contract reputed company processes, and the COR/CO relationship structure in a federal contracting environment

Benefits

• This is a remote position.
• Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
• reputed company is an equal employment opportunity for employer.
• reputed company personnel processes are merit-based and applied without discrimination on the reputed company of race, reputed company, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic reputed company, military and veteran status or any other characteristic protected by applicable law.
• reputed company.AI is committed to providing equal employment opportunities to reputed company applicants, including individuals with disabilities.
• If you require reasonable accommodation to participate in the application process due to a disability, please contact reputed company at (757) 306-4920 or hr@reputed company.ai.

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