Program Integrity Program Director

1 week ago

Albany, United States The ACI Group, Inc. Full time
Job DescriptionJob Description

Program Integrity Program Director

  • Full-time
  • Remote - preferred candidate lives within NY within reasonable proximity to Albany, NY to travel to office occasionally
  • Due to our government client requirements, we can only consider US Citizens or a Green Card Holders for this position
  • Travel may be required up to 20%
  • Target Salary: $115-125K + annual bonus of up to 20%

Description

Our client is seeking a Program Integrity (PI) Program Director, who is responsible for the successful sales and delivery of services to client(s). Responsible for delivery of services to Government client(s) in accordance with client contract requirements. Oversees routine delivery of client services, and responsible for day-to-day management of client relationship and overall contract P&L. Must have strong project management capabilities and assist in scope expansion sales and implementations. Must track to strategic corporate initiatives that are tied directly to individual account goals and objectives. Strong communicator and collaborator with operational and IT teams. Strategic thinker and innovator.

Responsibilities

  • Serves as the primary liaison with clients and is responsible for overall client satisfaction for our NY Medicaid payment integrity work.
  • Dedicated responsibility for leading/managing all account and contractual aspects, such as planning, scheduling, coordination, quality assurance, and reporting of workload and financial results.
  • Manages an operating budget with P/L responsibility including monthly accrual, revenue and expense projections.
  • Introduces, negotiates, and implements new projects to expand scope of engagement.
  • Develops and maintains a project status reporting system to ensure all contract deliverables are tracked, monitored, and completed timely. Provides status reports to Senior Management and clients detailing the progress and accomplishments in meeting contract deliverables.
  • Works with Senior Management to develop and implement a strategic business plan to achieve enterprise goals.
  • Works with clients and stakeholders (both internal and external) to monitor and communicate progress, identify and manage risk, and communicate consistently and effectively. Attends status meetings with client stakeholders and presents results of contract work. Communicates effectively on action items and issues.

Requirements

  • BA/BS - (Business/IT/Accounting/Healthcare preferred).
  • Minimum of 5 years of experience in Medicaid Program Integrity.
  • General knowledge of the Medicaid program and relevant experience in managing audits of Medicaid providers and systems.
  • Experience with New York Medicaid is a plus.
  • Strong computer skills, including, but not limited to Microsoft applications. Advanced technical knowledge is a plus.
  • Experience with managing healthcare clients.
  • Ability to function well in a highly collaborative environment which often requires managing relationships across task orders, multiple functional areas and physical and virtual locations.

Please Note:

  • Only those individuals selected for an interview will be contacted.
  • No calls, inquiries, or Third-Party Vendors please.
  • We are an equal opportunity employer. We encourage applications from candidates of all backgrounds and experiences. (The ACI Group is unable to sponsor H1B Visas).
  • $1000 Referral Bonus - www.aci.com.

Since 1988, The ACI Group, a Baltimore-based staffing firm, has been committed to hiring the industry's leading professionals, and presenting exciting career opportunities. We have access to varied types of contract, permanent and contract-to-perm positions and offer a choice of employment options including a full benefits package.




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