Program Director – Federal Health

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🔥 0 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $150k - $200k / year

⏰ Full Time

🔴 Lead

📋 Program Manager

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LivantaLLC

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Serve as the single, accountable point of contact for CMS, including the Contracting Officer Representative (COR) and Contracting Officer (CO), on all contract matters • Own contractual delivery timelines and ensure on-time submission of deliverables, reports, and performance data required by the SOW • Lead and manage a 100+ multi-disciplinary team, including clinical reviewers, medical coders, customer service representatives, and IT staff • Oversee hiring, training, performance management, and workforce planning • Monitor compliance with contractual performance standards and resolve operational issues • Oversee development and submission of required CMS reports, data deliverables, and program status updates • Lead contract kickoff activities, transition planning, and relationship management with CMS stakeholders • Oversee Medicare Part A/B/DMEPOS claim review operations, workflow design, case management systems, and quality assurance processes • Manage subcontractor relationships and performance in alignment with prime contract requirements • Champion compliance, accuracy, and continuous improvement across program functions

🎯 Requirements

• Minimum 5 years of professional experience in healthcare program management, federal contracting, or a related field • Minimum 3 years of experience managing complex systems and workflows as a manager or supervisor • Minimum 3 years of experience in Medicare Fee-for-Service (FFS) program operations • Demonstrated experience managing teams of 100 or more staff in a federal healthcare contractor environment • Bachelor’s degree required • Master’s degree preferred • Prior Program Director experience on a CMS medical review contract preferred • Operational familiarity with Medicare Part A, Part B, and DMEPOS claim review processes and adjudication workflows • Working knowledge of CMS reporting cadences, contract kickoff processes, and the COR/CO relationship structure in a federal contracting environment • Ability to sit, read, work on a computer, and watch a computer screen for extended periods • Occasionally able to stand, walk, use hands and fingers, kneel or crouch

🏖️ Benefits

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions • Equal employment opportunity employer • Equal employment opportunities for individuals with disabilities