Program Manager – Medicare/Medicaid
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Job Description
Program Manager overseeing Medicare/Medicaid initiatives and delivering impactful mission outcomes at GDIT. Leading analytics for fraud detection and managing program performance with diverse teams.
Responsibilities:
- Oversee complex programs that drive impactful mission outcomes for our customers as a Sr. Program Manager
- Here, you’ll see the bigger picture on mission initiatives and where your program management career can go at GDIT
- As a Program Manager, you'll lead diverse teams to deliver strong value and outcomes to customers through advanced analytics and fraud detection techniques
- Manages the cost, schedule and technical performance of programs or subsystems of major programs
- Coordinates the preparation of proposals, business plans, proposal work statements and specifications, operating budgets and financial terms/conditions of contract
- Acts as customer contact for program activities, leading program review sessions with customer to discuss cost, schedule, and technical performance
- Establishes concepts around operational activities including external engagement
- Develops criteria for engineering efforts for product research
- Coordinates on studies and white papers surrounding healthcare management activities
- Directs the work of employees assigned to the program from technical and administrative areas
- Directs work that includes multiple related departments or disciplines
- Works on complex issues where analysis of situations or data requires in-depth knowledge of healthcare and fraud
- Maintains clear communication with CMS clients, project team and corporate leadership
- Demonstrates strong leadership skills and serves as a liaison between key personnel serving this contract
- Ensuring that contract requirements are met, including quality assurance in products and services, cost control, timeliness and business relations
- Participates in development of innovative methods, techniques and evaluation criteria that expands and strengthens healthcare fraud prevention
- Lead/Manage/Support diverse teams in a high-impact and high-demand environment that is continually changing and evolving
- Collaborate with all levels of staff, leadership, and our customer to achieve strong outcomes, communicate successes, opportunities, and challenges, and align on success measures
- Drive outcomes and results for our customer through team collaboration, focusing on innovation, and aligning teams to customer goals and objectives
- Utilize knowledge of analytic tools, CMS data, analytic methods, and the FWA landscape to lead teams to achieve strong ROI
Requirements:
- 8 + years of related experience
- Bachelor of Arts/Bachelor of Science
- at least 10+ years of Medicare/Medicaid experience
- Extensive experience leading analytic teams to conduct FWA detection in Medicare or Medicaid
- Experience conducting analytics to detect Medicare and/or Medicaid FWA to support law enforcement or administrative actions
- Must have at least 5 years of experience leading healthcare analytics for FWA detection.
Benefits:
- Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts
- dental plan options
- a vision plan
- a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match
- To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans
- including vacation
- sick and personal time
- holidays
- paid parental
- military
- bereavement and jury duty leave
- GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations
- personal business
- and illness and an additional 10 paid holidays per year
- Paid leave and paid holidays are prorated based on the employee’s date of hire
- The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees
- other offerings such as short and long-term disability benefits
- life
- accidental death and dismemberment
- personal accident
- critical illness and business travel and accident insurance are provided or available.
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