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Program Director (Medicare) Jobs

Company

Cognosante, LLC

Address , Remote
Employment type FULL_TIME
Salary $156,016 - $249,630 a year
Expires 2023-07-16
Posted at 11 months ago
Job Description
Security Clearance required:
Public Trust
Cognosante is on a mission to transform our country’s healthcare and national security systems. With our solutions, we help public sector organizations achieve the important task of providing the best possible public services to American Citizens. From Health Care Support Services and Enterprise IT, Data Science, and Security Services, to full-scale Consumer Engagement and Interoperability solutions, we are moving government services forward with transformation and innovation. Learn how we are making a difference in people’s lives today!

Cognosante is looking for a motivated, hands-on Program Director with strong management, client engagement, logic and interpersonal skills who is up for the challenge of joining a high-performing team. As a Program Director, you will serve as the primary point of contact with client, project team, technical and business-oriented staff. Working closely with the Project Team, the Program Director will lead and manage the strategy and operation for a large complex Centers for Medicare and Medicaid Services (CMS) operation. The Program Director will satisfy and support the client’s business case, objectives, requirements, constraints, technology landscape, and technology standards.
Operating a large multifaceted team working in Medicare is a complex undertaking. Cognosante provides advanced and proven tools and methods to assist in this process. Some of the key qualifications that are required for the Program Director and the team are listed below. This position relates directly to many of these qualifications:
  • Communication and Change Management:
  • Health Economics:
  • Project Management:
  • IT and Data Analytics
  • Healthcare Management
  • Contract, Legal and Regulatory Expertise
Overall, the project team should have a combination of technical expertise, project management skills, and healthcare industry knowledge to create and operate a successful program of this size.

Key Responsibilities
  • Oversight and reporting to management and client for Financial Management Operations and legislative reporting functions.
  • Knowledge, understanding, compliance, and enforcement of all applicable Federal, State, and Local laws and regulations relating to job duties including Medicare rules.
  • Oversight of a large Contact Center staffed with Trained Medicare Specialists handling case management activities.
  • Support maintenance and improve the process to integrate with the data analytics to query data and produce reports for planning and implementation.
  • Develop and maintain knowledge, awareness, and understanding of company policies and procedures, goals, and objectives.
  • Suggest and implement improvements to business processes based on applicable state and federal regulations.
  • Lead team members and stakeholders to anticipate and manage changes to projects, such as but not limited to, technical requirements, business requirements and schedule.
  • Provide proactive feedback to team members and stakeholders concerning possible issues or areas of improvement.
  • Gather requirements and support project plans for project and Medicare services with a focus on maximizing financial recoveries while maintaining client satisfaction.
  • Liaising between the Enterprise PMO team, executive sponsors, and key business and technical stakeholders.
  • Ability to obtain a public trust clearance is required.
  • Responsible for identifying and meeting customer business objectives, leading team members, and working in a collaborative environment to ensure customer success.

Required Qualifications
  • Proven ability to solve problems creatively.
  • Bachelor’s degree in a business discipline plus 5 years’ program/project experience working in government programs such as Medicare and Medicaid.
  • Strong interpersonal and communication skills.
  • The Project Director shall have: (1) multi-shift operation management; and 2) a working knowledge of Medicare, the insurance industry as it relates to Medicare, MSP, COB, and Recovery activities.
  • 1+ years managing a team of more than 100 team members.
  • Broad and deep knowledge of business administration, human resource management, customer service and mass-mailing management and processing, and have excellent oral and written communications skills.
  • Proven ability to complete projects according to outlined scope, budget, and timeline.
  • Excellent analytics skills.
  • Experience finding trends, errors, and reviewing data with report writing skills.
  • Ability to obtain a public trust clearance is required.

Preferred Qualifications
  • Experience with Federal, State or Provider Health Care Policy and Federal Agencies (e.g., HHS, CMS, CDC, etc.) is a plus.
  • Project Management Professional (PMP) Certified.
  • Advanced degree in business, Healthcare, Criminal Justice, Payer, Provider, or related field.
  • Thorough knowledge of medical and insurance terminology is a plus.

Candidates that do not meet the required qualifications will not be considered.
Compensation
$156,015.95 - $249,629.77
The pay range for this job is determined by various factors, including but not necessarily limited to location, responsibilities of the job, and alignment with market data. When determining a salary for this role, the following factors may will be taken into consideration - contract-specific affordability, education, knowledge, skills, competencies and experience. The estimate displayed represents the salary range for this position and is just one component of Cognosante’s total compensation package for employees and is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any specific employee.
Cognosante will not provide sponsorship for employment-based immigration benefits for this position.
Like many other growing companies, Cognosante has been targeted by scammers attempting to make fraudulent job offers to potential candidates. Communication from Cognosante recruiting will only be sent with an official corporate domain email (e.g., @cognosante.com or @accurate.com) and not a commercial domain e-mail (e.g., @gmail.com or @yahoo.com). We will never request payment from you, nor will we send payment to you, prior to your start date. If you have been asked to send or receive any payment, or if you have any doubt about whether you have been contacted by a Cognosante employee, please contact us at . Thank you.
Cognosante is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.