Microsoft 365

Program Manager, Medicaid Certification and Compliance

Microsoft 365

full-time

Posted on:

Origin:  • 🇺🇸 United States • Wisconsin

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Salary

💰 $105,271 - $131,588 per year

Job Level

Mid-LevelSenior

Tech Stack

PMP

About the role

  • Manage, plan, direct, advise and oversee all activities related to certification Support, and when directed, lead FFS day-to-day operational activities Coordinate with the FFS Implementation Manager to ensure the effective coordination of all Company resources to fulfil FFS contracted commitments Continually monitor accepted FFS’ CMS certification and program performance indicators that ensure established goals and deadlines are met Support the creation and presentation of data for strategic business planning, including development of new business initiatives, budgets, resource demands, and operating execution Support the delivery of on-going formal training to team members When applicable, facilitate the hiring process, on-boarding process, mentoring and termination process for client/account team members as well as Business Analysts assigned to expanding functional requirements in the market Oversee policy and procedure administration; ensure regulatory and contractual compliance including individual contract service-level agreements Other duties as assigned

Requirements

  • Five (5) years of Program/Product and/or operational management experience in the pharmacy benefit delivery market is required; preference to candidates with state Medicaid program experience Strategic thinking ability and skills to support preparation of budgets, responses to prospective state Medicaid clients, internal project charters and business plans Demonstrable mentoring of staff in all aspects of research, marketing, technical and delivery related to FFS operations Willingness to travel as necessary to support marketing and delivery needs of FFS commitments Excellent verbal & written communication, presentation and negotiation skills required Available to participate in activities associated with states Medicaid programs Completed MBA, MHA, MPA or advanced business degree or comparable work experience is preferred; completed Bachelor’s Degree is required Completed PMP & CSM certifications preferred Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees