Director of Medicare Operations

* This position is eligible for remote/work from home opportunity

Job Summary

The Director of Medicare Operations provides management and leadership for Noridian Healthcare Solutions (NHS) which may include Medicare Administrative Contractor (MAC) operations and non-MAC contract operations. This position develops long range planning, strategies, budgets, quality programs, and expansion opportunities of administrative services to the government. This position may serve as a Key Personnel role of Project Managers as described in a contract's Statement of Work (SOW).

Key Performance Indicators

• Oversees all functions of assigned contract(s)
• Coaches and mentor's leadership
• Ensures compliance with contract regulations and communicates with all appropriate entities

Essential Functions

Key Duties/Responsibilities/Accountabilities

• Administers department requirements which includes meeting performance deliverables, staff efficiency, reporting expectations, and service expectations.
• Serves as the primary point of contact to plan, direct, coordinate, and manage the various department(s) functions including administering, modifying, closing out, and terminating contracts..
• Serves as the key liaison with other NHS leadership or external customers by communicating activities.
• Justifies and reports contracts financial outcomes monthly.
• Directs proposal development and bidding, initiates innovative alternatives for contract activity, and negotiates/resolves contract terms and issues as it relates to the assigned department(s).
• Directs operational activities assuring program benefits and reimbursement administration activities perform within corporate and CMS budgets.
• Provides organizational structure and procedures to support meeting and/or exceeding productivity, financial, and quality standards and selects, mentors, and measures performance of the senior leadership team.
• Develops long range plans and strategies for operations and growth of the division.

Non-Essential Duties and Functions

• Other duties as assigned.
• May delegate assignments to direct reporting staff.

Requirements

Qualifications

Minimum Qualifications:

• Bachelor's degree plus 10 years' professional experience of which 5 years are in a managerial or supervisory role related to complex systems and work flow
• Highly motivated and skilled professional that can assemble, lead, and motivate a team of professionals who are capable of producing and improving results
• Familiar with contract regulations
• Strong leader with broad experience leading teams in achieving results and maintaining efficiencies
• Strong interpersonal, communication, and organizational skills
• Demonstrated analytical and problem solving skills

Preferred Qualifications:

• Master's degree in Business Administration

Environment and Cognitive/Physical Demands

• Office Environment
• Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
• Requires prolonged sitting and telephone usage
• Requires the use of office equipment such as computer terminals, telephones, copiers and printers
• Infrequent lifting up to 15 pounds
• Infrequent stooping
• Travel up to 40%

Segregation of Duties

Every employee is responsible to perform their duties and responsibilities in accordance with Noridian values, policies and procedures, including but not limited to, Segregation of Duties Principles, HIPAA Security and Privacy, CMS requirements, the Noridian Compliance Program, and any other applicable laws, rules and regulations.

Statement of Other Duties

This document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functions. Employees may be requested to perform job related tasks other than those specifically listed in this description, and may be required to perform any task requested by the supervisor or by management.

Other Information

Job Posting Policy 6.05

New employees with Noridian Healthcare Solutions will be eligible to apply for positions within their assigned department after successfully completing a 90-day review. For positions outside your department, you must attain a minimum of six months of service before you can apply.

Equal Employment Opportunity

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.

For questions, please email careers@noridian.com.

This job posting will be closed 3/12/2018 at 8:00AM CST. No further applications will be considered.