The Assistant Project Director supports the planning and execution efforts of the Project Director by assisting with the day-to-day operations and the financial aspects of the Payment Error Rate Measurement (PERM) Review Contract supporting the Centers for Medicare & Medicaid Services (CMS).
ESSENTIAL DUTIES AND RESPONSIBILITIES
Essential duties and responsibilities include the following. Other duties may be assigned.
Responsible for the integration of CNI Core Competencies into daily functions, including: commitment to integrity, knowledge / quality of work, supporting financial goals of the company, initiative / motivation, cooperation / relationships, problem analysis / discretion, accomplishing goals through organization, positive oral / written communication skills, leadership abilities, commitment to Affirmative Action, reliability / dependability, flexibility and ownership / accountability of actions taken.
Works in conjunction with the Project Director in handling the day-to-day operations of the of the PERM review contract. In the absence of the Project Director, addresses CMS, State and staff inquiries on all aspects of the contract.
Liaises with the contract Task Managers to formulate draft recommendations to the Project Director when inquiries require rapid collaboration among project tasks. In the absence of the Project Director, communicates responses to the client or stakeholder.
Supports the Project Director by reviewing and approving invoices from subcontractors and vendors, seeking input from task managers as needed.
Supports the Project Director by reviewing the quality and timeliness of all internal and external deliverables arising both under the Statement of Work and other directives or requests from CMS.
Participates in regular progress, coordination and stakeholder meetings, and supports the Project Director by ensuring minutes are accurate and available for timely submission to the client and other internal and external stakeholders.
Assists in developing the required procedures, protocols, systems, structures and tools to efficiently and effectively manage and monitor all aspects of the project.
Assists in establishing all necessary project procedures. Ensures staff are familiar with the project execution strategy and established processes and procedures.
Responsible for aiding in own self-development by being available and receptive to all training made available by the company.
Plans daily activities within the guidelines of company policy, job description and supervisor’s instruction in such a way as to maximize personal output.
Responsible for keeping own immediate work area in a neat and orderly condition to ensure safety of self and coworkers. Will report any unsafe conditions and/or practices to the appropriate supervisor and human resources. Will immediately correct any unsafe conditions to the best of own ability.
EDUCATION / EXPERIENCE
Bachelor's degree in a related field of study and a minimum of five (5) years relevant project management experience overseeing mid-to-large projects, budgets, and staff with a minimum of three (3) years’ experience working in Medicaid and/or CHIP at a state or national level related to the performance of medical documentation reviews; or equivalent combination of education / experience. Experience working with state claims processing systems and the medical review process preferred.
CERTIFICATES / LICENSES / REGISTRATION
Ability to obtain government security clearance
U.S. Citizens / Green Card only due to government or federal requirement
One or more of the following certifications preferred but not required:
Registered Health Information Administrator (RHIA)
Registered Health Information Technologist (RHIT)
Certified Professional Coder (CPC)
JOB SPECIFIC KNOWLEDGE / SKILLS / ABILITIES
Operational knowledge and understanding of improper payment programs and government consulting
Advanced knowledge and understanding of the Medicaid and CHIP programs as well as related coverage and payment rules
Understanding of information technology security and Health Insurance Portability and Accountability Act (HIPAA) policies for dealing with Personal Health Information and personally identifiable information
Ability to develop and apply comprehensive solutions to client requirements / issues
Ability to plan and oversee projects through the use of project management software tools and methodologies
Skilled proficiency in the use of Microsoft Office Suite (i.e., Word, Excel Outlook, Project, etc.) and Microsoft SharePoint web application
Exceptional organization skills with ability to effectively manage multiple projects and priorities
Skilled in facilitating teamwork and coordinating efforts for the successful achievement of goals
Excellent supervisory and management skills with ability to resolve conflicts, grievances, confrontations or disagreements in a constructive manner
Excellent verbal and written communications skills with solid presentation skills
Ability to schedule, plan and lead meetings
Exceptional customer service skills with ability to build professional, business relationships
Ability to interact professionally with team members, corporate management, and clients of all levels
Adept analytical, critical thinking and financial management / budgeting skills
Ability to implement a proactive approach to problem-solving
Demonstrated ability to work under pressure and to meet tight deadlines
Demonstrated ability to effectively work both independently and in a highly collaborative, team environment
Ability to read, analyze and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conform to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors.
Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.