Navitus Health Solutions is seeking a Medicaid Cert and Compliance Program Manager to join our team!
The person has a minimum of three (5) years of successful experience managing operational teams, conducting certification exercises using complete CMS’ MECT criteria or selected case reviews, and developing cost proposals. The role also requires regular interfacing and communicating with external clients and constituents regarding FFS pharmacy claims-processing, operating performance measures and technical development that all support the regulatory contracted needs of States and the fiscal commitments to the Company by the business unit. This partnership is key for successful delivery of new services to the marketplace, ensuring state certification readiness, and product road map alignment with market needs. The Program Manager is supported by the FFS Implementation Manager to plan, schedule and monitor all activities leading to successful CMS certification on behalf of our clients. The Program Manager develops project plans and operation performance metrics that drive teams to successful CMS certification. Lastly, the Program Manager role is a critical operating connection for technical resources, FFS functional subject matter experts, government market-sensitivity, proposal development and financial performance; previous direct experience in several of these capacities is key.
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