Program Director Jurisdiction
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Job Location:
Baltimore, MD - USA
Monthly Salary:
$ 118730 - 295514
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Please note: This role is contingent upon a contract award. While it is not an immediate opening we are actively conducting interviews and extending offers in anticipation of the award.
Jurisdiction Program Director Position (onsite Midwestern Region)
ICF is currently seeking a Jurisdiction Program Director to oversee contract requirements and overall operations within the Midwestern Region for a federal health agency. Under this program ICF will investigate potential fraud waste and abuse in Medicare and Medicaid programs. The Program Director will fulfill its contract requirements to protect the integrity of these healthcare programs by coordinating activities to ensure appropriate staffing effective communication with internal and external stakeholders and compliance with contract requirements including quality cost control timeliness and business relations. The Program Director will also ensure the implementation of a robust quality assurance program and maintain superior business relations with CMS Law Enforcement MACs and other stakeholders.
The successful candidate should have extensive experience in healthcare Medicare Medicaid or related private insurance fields with a strong background in managing complex systems and workflows. The candidate must demonstrate effective leadership communication and organizational skills and be capable of managing high-level stakeholder relationships and contract deliverables.
Job Location- Preference given to Midwest-based candidates. Remote role with up to 50% travel mainly to Baltimore MD and the Midwest (Midwestern Region includes Minnesota Wisconsin Illinois Indiana Michigan Ohio Kentucky Iowa Missouri Nebraska and Kansas.)
Key Responsibilities:
Oversight of contract requirements and jurisdictional operations.
Lead manage and support a team.
Ensure appropriate staffing and resource allocation.
Maintain effective communication with internal staff and external stakeholders.
Ensure compliance with contract requirements including quality cost control and timeliness.
Implement and maintain a quality assurance program.
Submit timely and accurate monthly cost reports and corrective action plans as needed.
Ensure timely and quality submission of deliverables and ad hoc requests.
Maintain superior business relations with CMS Law Enforcement MACs and other partners.
Basic Qualifications:
Bachelors degree with 20 years of professional experience OR Masters degree from an accredited institution with 15 years of professional years
At least eight years in healthcare Medicare Medicaid or related private insurance field.
Minimum of seven years in a progressive management capacity with responsibility for managing complex systems and workflows.
US Citizenship is required by the federal government for this position
Must be able to obtain Public Trust clearance.
Preferred Qualifications:
Intensive experience conducting and overseeing healthcare fraud investigations for healthcare payers and/or law enforcement.
Customer familiarity with the CMS Center for Program Integrity (CPI)
Expertise in the Medicare program and the CMS/CPIs fraud waste and abuse workflow
Credentials such as: Certified Fraud Examiner (CFE) Accredited Healthcare Fraud Investigator (AFHI) or similar.
Proficiency in MS Office Applications (Word PowerPoint Outlook Excel Project) and MS SharePoint.
Professional Skills:
Strong leadership and organizational skills.
Excellent verbal and written communication skills.
Proven ability to manage complex projects and meet deadlines.
Ability to foster positive relationships with stakeholders and team members.
Working at ICF
ICF is a global advisory and technology services provider but were not your typical consultants. We combine unmatched expertise with cutting-edge technology to help clients solve their most complex challenges navigate change and shape the future.We can only solve the worlds toughest challenges by building a workplace that allows everyone to thrive. We are an equal opportunity employer.Together our employees are empowered to share theirexpertiseand collaborate with others to achieve personal and professional goals. For more information please read ourEEOpolicy.
We will consider for employment qualified applicants with arrest and conviction records.
Reasonable Accommodations are available including but not limited to for disabled veterans individuals with disabilities and individuals withsincerely heldreligious beliefs in all phases of the application and employment process. To requestan accommodationplease emailand we will be happy toassist. All information you provide will be kept confidential and will be used only to the extentto provide needed reasonable accommodations.
Read more aboutworkplacediscriminationrightsor our benefit offerings which are included in theTransparency in (Benefits) CoverageAct.
At ICF we are committed to ensuring a fair interview process for all candidates based on their own skills and knowledge. As part of this commitment the use of artificial intelligence (AI) tools to generate orassistwith responses during interviews (whether in-person or virtual) is notpermitted. This policy is in place tomaintainthe integrity and authenticity of the interview process.
However we understand that some candidates may require accommodationthat involves the use of AI. Ifsuch anaccommodation is needed candidates are instructed to contact us in advance at. Weare dedicated to providingthe necessary support to ensure that all candidates have an equal opportunity to succeed.
Pay Range - There are multiple factors that are considered in determining final pay for a position including but not limited to relevant work experience skills certifications and competencies that align to the specified role geographic location education and certifications as well as contract provisions regarding labor categories that are specific to the position.
The pay range for this position based on full-time employment is:
$118730.00 - $295514.00Maryland Remote Office (MD99)Required Experience:
Director
Key Skills
- Nurse Management
- Program Management
- Employee Evaluation
- Management Experience
- Teaching
- Curriculum Development
- Administrative Experience
- Budgeting
- Leadership Experience
- Program Development
- Supervising Experience
- Addiction Counseling
About Company
About ICF: The Integral Coach Factory is one of the earliest production units of independent India. It was inaugurated by the first Prime Minister of India Pt. Jawaharlal Nehru on 2nd October, 1955. Later the Furnishing Division was inaugurated on 2nd October, 1962 and the production ... View more
