
201 - 500 employees
Founded 2004
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
Livanta LLC is a technology-enabled organization dedicated to advancing healthcare quality through innovation. It specializes in providing services to patients, caregivers, healthcare providers, and payers, focusing on improving health outcomes, navigating healthcare systems, and ensuring payment accuracy. Livanta is recognized as the largest Medicare Quality Improvement Organization and offers a range of services including quality oversight, auditing, advocacy, and data analytics to enhance patient care and safety while managing healthcare costs effectively.
🔥 0 minutes ago
🌵 Arizona, Florida, +22 more states – Remote
💵 $100k - $125k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👷♀️ Project Manager
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201 - 500 employees
Founded 2004
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
Livanta LLC is a technology-enabled organization dedicated to advancing healthcare quality through innovation. It specializes in providing services to patients, caregivers, healthcare providers, and payers, focusing on improving health outcomes, navigating healthcare systems, and ensuring payment accuracy. Livanta is recognized as the largest Medicare Quality Improvement Organization and offers a range of services including quality oversight, auditing, advocacy, and data analytics to enhance patient care and safety while managing healthcare costs effectively.
• Support the Project Manager in day-to-day contract execution and serve as the designated PM backup during absences or unavailability • Own regulatory reporting, including preparation, review, quality control, and timely submission of CMS reports, monthly status updates, and contractual deliverables • Coordinate Joint Operating Agreements with Medicare Administrative Contractors, including scheduling, agendas, documentation, follow-up, and compliance • Manage CMS status calls, internal leadership meetings, and cross-functional operational reviews; prepare agendas, capture minutes, and track actions to resolution • Track compliance across program workstreams, contractual performance standards, deadlines, corrective action plans, and COR/CO correspondence • Manage complex systems and medical review workflow operations, ensuring staffing, throughput, and processes align with contractual standards and CMS expectations • Interface with CMS on assigned operational matters and maintain relationships with the COR and CO as directed by the PM • Support contract transitions, personnel onboarding, special projects, and continuous improvement initiatives
• Minimum 4 years of professional experience in healthcare program management, federal contracting, or a closely related operational field • Minimum 3 years of experience managing complex systems and medical review workflow operations across multiple concurrent workstreams • Minimum 2 years of experience in Medicare Fee-for-Service program operations • Working knowledge of Medicare coverage, payment policy, and claims processing • Master’s degree in Healthcare Administration, Public Administration, Business Administration, or a related field preferred • Bachelor’s degree plus a minimum of 3 additional years of directly relevant experience may substitute for a Master’s degree • Prior experience as an operations manager, deputy director, or senior program administrator at a CMS medical review contractor preferred • Working knowledge of federal contracting reporting requirements, COR/CO relationship dynamics, and CMS monthly status reporting cycles • Direct experience coordinating JOAs with MACs, including data sharing protocols, referral workflows, and CMS contractor coordination obligations • Ability to sit, read, work on a computer, and watch a computer screen for extended periods • Ability to occasionally stand, walk, use hands and fingers, kneel, or crouch
• Remote position • Reasonable accommodations for individuals with disabilities • Equal employment opportunity and merit-based personnel processes • Equal employment opportunities for applicants with disabilities
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