• Program Manager

    Job Locations US-TX-Austin
    Posted Date 1 month ago(12/11/2018 3:57 PM)
    Job ID
    2018-2061
  • Overview

    ProSphere is seeking a Program Manager (PgM) with experience managing large federal government projects.  The PgM will direct a large team of federal government contractors to perform technical and professional medical claims processing services in support of a federal government agency and its customers. This is a full-time position located in Austin, TX. Veterans are encouraged to apply.

    Responsibilities

    • Serve as the primary interface with the Government client.
    • Ensure that the contract is sufficiently staffed and that there is no lapse in services.
    • Manage subcontractor contributions.
    • Provide the supervision needed for all staff to perform the scope of work accurately, efficiently and within established time frames to attain the required performance metrics.
    • Formulate plans and recommend effective strategies to the customer to meet cost, schedule, and deliverable objectives.
    • Deliver quality program documentation (briefings, documents, plans, reports, etc.) to the customer in support of the overall program.
    • Anticipate and manage any risks throughout the processes. 
    • Create ad-hoc reports to be used in the collection of metrics, documentation, historical, and financial information.
    • Maintain and update contract SharePoint site.
    • Plan, schedule, and coordinate meetings to include agendas, minutes, action items, and follow-up.
    • Collaborate with the company and client project teams.

    Qualifications

    • Bachelor's degree
    • Project Management Professional (PMP) certification, desired but not required.
    • At least ten (10) years of program management experience 
    • At least six (6) years of experience supervising personnel on processing medical claims and vouchers using numerous database applications
    • Proven capability and experience to supervise a team of several hundred employees and contractors
    • Experience defining, delegating and managing program staff roles and responsibilities, with demonstrated success supervising a team focused on meeting organizational goals, objectives, and strong customer service skills
    • Thorough understanding of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) and Tenth Revision Clinical Modification (ICD-10-CM) standards
    • Knowledge and expertise in the use of Microsoft Office products such as Word, Excel, and Project
    • In-depth understanding of billing and follow up regulations as it relates to Medicare
    • In-depth understanding of electronic claims editing and submission capabilities including Medicare and NEIC on-line claims processing and query system
    • Ability to identify problems that will impact program performance and delegate the right resources to define, recommend and implement corrective courses of action
    • Proficiency in timely and effective oral and written communication
    • Ability to work overtime required on occasion
    • Ability to sit in an office environment for long periods of time

     

     

    ProSphere offers full-time employees a comprehensive and competitive benefits package including paid vacation, sick leave, holidays, health insurance, life insurance, military leave, training, tuition reimbursement, a wellness program, short- and long-term disability, 401(k) retirement plan with company matches/immediate vesting, commuter benefits, and more.

     

    It is ProSphere’s policy to promote equal employment opportunities. All personnel decisions, including, but not limited to, recruiting, hiring, training, promotion, compensation, benefits and termination, are made without regard to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identity, citizenship status, veteran status, disability or any other characteristic protected by applicable federal, state or local law.

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