Job Title: Program Manager (PM) or Equivalent (Equiv)
Location: Austin, TX (VA Medical Center)
POP: 1-year base/with possible extension
Clearance Requirement: TBD
The Ravens Group, Inc. is in an active bidding process for this position which is contingent upon The Ravens Group, Inc. being awarded the contract.
Roles and Responsibilities:
The Program Manager (PM) or Equivalent (Equiv) shall provide the supervision needed for all Contractor personnel to perform the scope of work accurately, efficiently and within established time frames to attain the required performance metrics in this PWS. The PM or Equiv shall be the primary interface with the Government. The PM shall ensure this contract is sufficiently staffed and there is no lapse in services.
Position Qualifications & Requirements:
Minimum Experience: The PM or Equiv shall possess at least 5 years of experience supervising personnel on processing medical claims and vouchers using numerous database applications in accordance with medical claims coding regulations and guidelines.
The PM or Equiv shall have demonstrated success leading a large team focused on meeting organizational goals, continuous improvement and implementing human capital management strategies.
The PM or Equiv shall possess in-depth subject matter knowledge and judgment to direct the performance of the personnel.
In addition, the PM or Equiv shall have proven capability and experience to supervise a team of the size needed to perform the scope and accuracy of work and to attain the required performance metrics in the PWS.
The PM shall have an in-depth understanding of billing and follow up regulations as it relates to Medicare.
- The PM or Equiv shall have an in-depth understanding of electronic claims editing and submission capabilities including Medicare and NEIC on-line claims processing and query system.
- The PM shall have a thorough understanding of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases, Tenth Revision Clinical Modification (ICD-10-CM) standards (or latest version).
- The PM shall have knowledge and expertise in the use of Microsoft Office Products such as Word, Excel, and Project.
- Minimum Education: Bachelor’s Degree.
Must be able to pass a NACI background check