Partner Relations Liaison (CMS Healthcare Fraud Prevention)

GD Information Technology, Inc.; Virginia; Ibrido; USD 64.000 - 86.000; Tempo pieno

Descrizione del lavoro

General Dynamics Information Technology, Inc. is hiring a Partner Liaison to support the Centers for Medicare and Medicaid (CMS).

You will manage the relationship between HFPP members (Partners) and the Trusted Third Party (TTP) as part of a 50-person team, with remote work options. Required qualifications include a BA/BS in healthcare or related field (or equivalent experience), 2+ years in customer service and healthcare investigation, strong communication skills, expert MS Office knowledge,

Competenze

• 2+ years of experience in customer service and/or customer liaison.
• 2+ years of experience in healthcare investigation.
• Strong oral and written communication skills with the ability to present to management level staff.
• Expert level knowledge of Microsoft Office suite.
• Working knowledge of HIPAA privacy and security rules.

Mansioni

• Establishes and maintains regular, consistent contact with all HFPP Partners
• Ensuring your assigned Partners are aware of, and taking advantage of all the benefits of HFPP membership
• Capturing Partner feedback and communicating it to the TTP and HFPP leadership
• Assist in day-to-day onboarding activities for partners completing data sharing agreement and assist with onboarding data to TTP Data Warehouse
• Supporting HFPP and non-HFPP events

Conoscenze

Fraud Prevention

Health Claims

Health Insurance Claims

Investigation

Formazione

BA/BS in health care field or related field

Strumenti

Microsoft Office

Descrizione del lavoro

Type of Requisition

Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Program Delivery and Execution Job Qualifications: Skills: Fraud Prevention, Health Claims, Health Insurance Claims, Investigation, Microsoft Office Certifications: None Experience: 2 + years of related experience US Citizenship Required: No

Job Description

GDIT is hiring a Partner Liaison to support the Centers for Medicare and Medicaid (CMS), you will be trusted to manage the relationship between a portfolio of Healthcare Fraud Prevention Partnership (HFPP) members (Partner) and the Trusted Third Party (TTP). You will be part of a 50 person team supporting the TTP which was established in 2012 to reduce fraud, waste and abuse in healthcare data. This position is remote Work visa sponsorship will not be provided.

WHAT YOU'LL BE DOING

• Establishes and maintains regular, consistent contact with all HFPP Partners
• Ensuring your assigned Partners are aware of, and taking advantage of all the benefits of HFPP membership
• Capturing Partner feedback and communicating it to the TTP and HFPP leadership
• Assist in day-to-day onboarding activities for partners completing data sharing agreement and assist with onboarding data to TTP Data Warehouse
• Supporting HFPP and non-HFPP events

WHAT YOU'LL NEED

• BA/BS in health care field, business administration, criminal justice or a related field, OR equivalent work experience in lieu of degree
• 2+ years of experience in customer service and/or customer liaison
• 2+ years of experience in healthcare investigation
• Strong oral and written communication skills with the ability to present to management level staff.
• Expert level knowledge of Microsoft Office suite.
• Working knowledge of HIPAA privacy and security rules.

SKILLS & ATTRIBUTES FOR SUCCESS

• Strong decision-making skills and a demonstrated history of established leadership qualities as well as proven organizational skills.
• Commitment to confidentiality, privacy, and professionalism.
• Ability to independently follow through on problems.
• Detail oriented and ability to prioritize multiple tasks and work under pressure.
• Ability to work on complex projects with general direction and minimal guidance.
• Ability to build effective relationships, demonstrating strong interpersonal skills.
• Exceptional customer service skills.
• Exhibit high initiative to get things accomplished; high organizational ability to juggle multiple priorities.
• Ability to perform well and achieve goals both in a team environment, with staff at all levels, and independently.

GDIT IS YOUR PLACE

At GDIT, the mission is our purpose, and our people are at the center of everything we do. Growth: AI-powered career tool that identifies career steps and learning opportunities Support: An internal mobility team focused on helping you achieve your career goals Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off Community: Award-winning culture of innovation and a military-friendly workplace

OWN YOUR OPPORTUNITY

Explore a career in program management at GDIT and you’ll find endless opportunities to grow alongside colleagues who share your passion for the mission and delivering results.

Salary

The likely salary range for this position is $64,230 - $86,250. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Working Hours & Travel

Scheduled Weekly Hours: 40 Travel Required: Less than 10% Telecommuting Options: Remote Work Location: Any Location / Remote Additional Work Locations:

Total Rewards at GDIT

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

Identity Verification Process

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.

About Our Work

We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-ready capabilities in AI, cloud, cyber and software development.

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From working with technologies like AI, cyber and cloud to careers in intelligence and health, we offer endless opportunities to apply your expertise to create a safer, smarter world.

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