Program Director
4 weeks ago
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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