Clinical Operations

• Serve as the contractor’s authorized representative on all daily operational matters.
• Maintain ongoing communication with the CMS RVC COR regarding contract performance, staffing, and deliverables.
• Oversee medical review activities and ensure compliance with CMS guidelines and FFS RAC Program requirements.
• Lead cross-functional teams and manage staff required to support RVC operations.
• Ensure accurate interpretation of Medicare coverage, documentation, and regulatory standards.
• Monitor project progress, performance measures, and quality assurance outputs.
• Prepare operational updates, reports, and data summaries for CMS and internal leadership.
• Ensure effective workflows, staffing coverage, and adherence to deadlines and contract terms.
• Provide clinical oversight and guidance across medical review tasks and methodologies.

Clinical Program Manager – CMS Medical Review

Clinical Quality Manager – Population Health

Senior Project Manager, Strategic Operations, Global Clinical Operations

Associate Director, Clinical Operations Lead – Asthma

Director, Clinical Operations

Director, Clinical Research Operations