Program Director

4 weeks ago


Baltimore, Maryland, United States J29, Inc Full time
Job Description

At J29, Inc., we are seeking a highly skilled Program Director to lead our team in providing exceptional healthcare management consulting services. As a key member of our leadership team, you will be responsible for managing and directing our contracted support to the Centers for Medicare & Medicaid Services (CMS).

Key Responsibilities:

  • Assume timely and quality management of J29's contractual program supporting CMS' efforts to minimize fraud, waste, and abuse in medical claims processing.
  • Lead a team of J29 staff and subcontractor personnel across areas of expertise between clinical, medical coding, and Medicare/Medicaid policy.
  • Oversee and provide continuous review of the National Correct Coding Initiative (NCCI) program and develop, improve, and expand it to prevent improper payments.
  • Ensure that contracted deliverables are met with the client in a timely and quality manner, working with other cross-subject matter experts across the J29 team.

Requirements:

  • 10+ years of experience managing a team of 6+ direct reports across medical coding, clinical, data, or other healthcare compliance/policy experience.
  • 9+ years' experience in interpreting/coding Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) codes and coding conventions.
  • 8+ years of proven experience working in process with Correct Coding Initiatives, in particular the National Correct Coding Initiative (NCCI).

What We Offer:

  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.

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