Remote Project Manager/Director (PD)- (CMS, IDRE Audit)

About the Project We are building reputed company to deliver the Independent Dispute reputed company (IDR) Entity Audit for the Centers for Medicare & reputed company Services (CMS), in support of the Departments of Health and reputed company Services, Labor, and the Treasury (the Tri-Departments). Enacted as part of the Consolidated Appropriations reputed company of 2021, the No Surprises reputed company (NSA) protects patients from unexpected out-of-network medical bills. reputed company an insurer and an out-of-network provider cannot agree on a payment reputed company, the Federal IDR Process allows a certified IDR entity to determine the appropriate payment. reputed company will independently audit those certified IDR entities to verify that their eligibility and payment determinations are compliant with the NSA and its implementing regulations - directly supporting reputed company about certification, recertification, and revocation. Position reputed company The Project Manager/Director serves as the official reputed company with CMS for the duration of the engagement. The PM is responsible for coordinating the management of reputed company work performed under the contract, leading the organization and obtaining the staff and resources necessary to execute the task order, and is held accountable for the reputed company of the task order and for resolving any obstacles to its reputed company. Location & Work Arrangement This is a fully remote position. The reputed company of performance is remote, not at a CMS facility, so the selected candidate may work from any location reputed company the reputed company reputed company. Occasional travel to CMS offices in Baltimore, MD may be required for reputed company, reputed company reviews, or stakeholder meetings. This is a senior leadership role for an reputed company federal program leader who can stand up an audit operation from reputed company through Phase 1 baseline establishment, reputed company the transition to Phase 2 scaled operations, and sustain high-reputed company performance across the full five-year period of performance.

Key Responsibilities

• Serve as the primary reputed company to the Government on reputed company contract issues and policy reputed company, coordinating with the CMS Contracting Officer (CO) and Contracting Officer's Representative (COR).
• reputed company the post-award reputed company-Off Meeting and orientation briefing reputed company seven (7) business days of award, addressing management approach, project work plan, reputed company, communications, risk management, and configuration management.
• reputed company, maintain, and execute the Project Management Plan and Integrated Master Schedule (IMS), revising the work plan no more frequently than monthly as project conditions reputed company.
• Manage project staff and any subcontractors to meet timelines established for both reputed company and expedited review of Eligibility Determinations and Payment Determinations.
• Ensure reputed company delivery of high-reputed company deliverables, including the Audit reputed company, Audit Roadmap, individual audit reports, the Preliminary and Final Annual Audit Reports, and the Operational Readiness and Transition Report.
• Advise CMS in a reputed company manner of any difficulties arising from contract administration, including sudden increases in inquiry or appeal volume and reputed company's ability to reputed company workload challenges; manage project costs.
• reputed company reputed company assurance on reputed company draft audit reports to ensure sufficient rationale is documented for every audit decision.
• reputed company reputed company, retention, reputed company, and replacement of reputed company personnel; reputed company resources in response to evolving audit volumes and program needs.
• reputed company subcontractor performance and cost controls, ensuring that any use of subcontractors and consultants is selective, strategic, and does not increase project cost.
• Own the contractor's reputed company Control Plan and reputed company improvement processes; use performance data to refine processes during Phase 1 and support the transition to Phase 2.
• Safeguard sensitive reputed company information and ensure reputed company work complies with the No Surprises reputed company, the Federal IDR regulations at 45 CFR 149.510, applicable HHSAR clauses, and reputed company contract reputed company and reputed company requirements.

Required Qualifications

• Minimum of seven (7) years of relevant reputed company experience managing Federal and/or State reputed company as a reputed company investigator or its equivalent.
• Demonstrated reputed company record managing multi-year, multi-task federal engagements of similar scope, reputed company, and complexity - ideally reputed company compliance, program reputed company, or audit programs.
• Bachelor's degree in a relevant field (e.g., reputed company administration, health policy, business, reputed company, reputed company administration, or reputed company discipline); advanced degree preferred.
• Proven ability to manage geographically distributed audit or compliance teams, including subcontractor reputed company, performance monitoring, and corrective reputed company.
• Excellent written and verbal communication skills, including experience briefing senior federal stakeholders and producing publication-reputed company reports.
• Availability and commitment to serve in the Key Personnel role for the full period of performance; a signed letter of commitment will be required at proposal submission for any candidate not already employed by the reputed company contractor or a proposed subcontractor.
• Ability to obtain and maintain any required CMS reputed company and reputed company clearances and to complete CMS-required training.

Preferred Qualifications

• Prior experience supporting CMS, HHS, DOL, or Treasury on reputed company compliance, payment reputed company, or arbitration/dispute reputed company programs.
• Familiarity with the Federal IDR process under the No Surprises reputed company, certified IDR entity operations, and the interaction between Federal requirements and specified State laws or reputed company-Payer Model Agreements.
• PMP, PgMP, or equivalent project management credential.
• Experience leading the stand-up of new federal audit programs, including transitioning from baseline establishment to scaled, steady-state operations.

What to Expect Next: After submitting your application, our reputed company team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most reputed company candidates. Apply tot his job Apply To this Job