Director of Strategic Initiatives – Law Enforcement, VA Program

🕒 il y a 3 jours

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Qlarant

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 1973

🏥 Santé

💼 Conseil

🛡️ Assurance

Healthcare • Consulting • Insurance

Qlarant est une entreprise de services et de technologie basée aux États-Unis, spécialisée dans l'intégrité des programmes de santé. Elle propose des services d'amélioration de la qualité, de détection et d'enquêtes sur la fraude, les gaspillages et les abus (FWA), ainsi que des outils avancés d'analyse de données et de modélisation prédictive (la suite RIViR® Risk Solution) pour les agences gouvernementales, les plans de santé et les secteurs connexes. L'entreprise gère également des initiatives comme la Qlarant Foundation et Qlarant Capital pour financer des subventions et des startups en phase initiale, et fournit des solutions axées sur la pharmacie, la tarification des médicaments et le transport.

Description

• Plan, direct, and oversee large-scale projects across assigned contracts in alignment with organizational priorities and Veterans Affairs mission needs • Conduct comprehensive project planning, establish timelines, allocate resources, monitor budgets, and deliver high-quality results within funding and scheduling parameters • Prepare detailed reports, executive briefings, and operational updates on progress, risks, and opportunities • Coordinate between Qlarant, law enforcement agencies, and VA stakeholders • Foster relationships and facilitate communication and information sharing with law enforcement and VA partners • Support interagency initiatives, meetings, and task force engagements • Provide subject-matter expertise on law enforcement protocols, VA systems, public safety risks, emerging threats, CMS issues, healthcare fraud trends, and law enforcement engagement • Ensure compliance with applicable laws, regulations, confidentiality requirements, contractual requirements, and CMS policies • Develop work plans, assign duties, coordinate project teams, and drive projects on schedule and within budget • Conduct meetings, focus groups, committees, training programs, briefings, and training events • Evaluate and modify schedules, plans, processes, and deliverables based on status reports and operational needs • Manage team performance through feedback and formal performance reviews • Serve as the primary contact for local, state, and federal law enforcement partners and external stakeholders • Facilitate intelligence exchange and coordination on cases, incidents, and emerging schemes • Assist agencies with interpretation of organizational and CMS policies, programs, capabilities, and resources

🎯 Exigences

• Minimum Bachelor's Degree; education can be substituted for experience • 15+ years of experience required • Veterans Affairs experience preferred • Active and current Project Management Professional (PMP), Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Management (CPHM), Certified Case Manager (CCM), Registered Nurse (RN), and/or Certified Fraud Examiner (CFE) certification preferred • Ability to work independently within broad departmental policies and practices • Knowledge of law enforcement protocols, VA systems, CMS policies and programs, healthcare fraud trends, public safety risks, and emerging threats • Ability to plan and manage large-scale projects, budgets, schedules, resources, and contractual requirements • Ability to prepare reports, executive briefings, operational updates, articles, and proposals • Ability to develop and conduct training programs and resources • Ability to build and maintain relationships with law enforcement agencies, VA stakeholders, contractors, and external customers • Successful completion of pre-employment background and drug screens required

🏖️ Avantages

• Offers contingent upon successful completion of pre-employment background and drug screens • Equal Opportunity Employer • Drug-free workplace