Job Information
Independent Health Medicare Programs Implementation Manager in Buffalo, New York
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Overview
The Medicare Programs Implementation Manager is accountable for the coordination, communication and execution of programs supporting the Medicare product portfolio. The Implementation Manager will facilitate appropriate communications and interface between regulatory agencies and Independent Health cross-functional groups to track and ensure compliance with regulatory requirements for the Medicare line of business. The Medicare Programs Implementation Manager will lead Medicare operational initiatives (i.e. benefit implementation/oversight, audits), Medicare operational projects and initiatives, and work with various cross-functional teams and Medicare stakeholders to ensure program deliverables are achieved and aligned with Medicare line of business objectives.
The Medicare Programs Implementation Manager will be accountable for the end-to-end program oversight and overall Medicare member experience of each initiative. This includes work plan development, internal and external communications, management of tasks and milestones, development of operational policies and procedures, quality assurance and communication and other management efforts as appropriate to the program.
Qualifications
Bachelor’s degree required; an additional four (4) years of relevant experience may be considered lieu of a degree.
Minimum four (4) years of experience working with government agencies including but not limited to the Centers for Medicare & Medicaid Services (CMS), Department of Health (DOH), Office of Mental Health (OMH), Office of Health Insurance Programs (OHIP), Office of Medicaid Inspector General (OMIG) required. Other regulatory experience considered in lieu of the above if applicable.
Demonstrated ability to lead regulatory, business, and technical based initiatives to a successful outcome.
Experience in project management including the definition of project plans and the oversight of project associates for one or more projects.
Demonstrated and proven understanding of regulatory requirements as they relate to Medicaid/Medicare Managed Care Operations.
Skill in organizing resources and establishing priorities.
Strong interpersonal and communication skills and the ability to work effectively with a wide range of associates across multiple business areas.
Ability to effectively work and build relationships with Executive and Senior-level management and external stakeholders.
Excellent interpersonal, written, and verbal communication skills required. Must be able to develop and deliver presentations to varying audiences.
Ability to effectively communicate with internal and external teams and agencies.
Local travel required. Any Independent Health associate who uses a motor vehicle in the course of their duties representing Independent Health must be compliant with New York State Motor Vehicle laws and must follow the Policy that pertains to Driver’s License Requirements as a condition of employment.
Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.
Essential Accountabilities
Manage Medicare-program operations that require coordination with various departments to ensure regulatory requirements are met.
Ensure accurate, compliant, and timely distribution of Medicare communications (internal and external). In doing so, the Implementation Manager will provide representation and stewardship of overall Medicare member experience across the organization.
Serve as a liaison with applicable Medicare agencies and internal stakeholders and Medicare members, when required to do so.
Lead and/or participate in decision-making efforts providing regulatory tracking and interpretation.
Develop, communicate, manage and monitor an overall program work plan throughout the implementation of new or updated benefit design and/or reporting dashboards and other Medicare operational initiatives.
Facilitate and coordinate regulatory reporting and support of audits as necessary for the organization.
Lead and/or coordinate the training of associates when new processes or procedures are implemented for state programs.
Coordinate program deliverables and tasks across supporting departments, ensure codependent milestones are on track to meet initiative parameters.
Identify process improvement/redesign opportunities; document and redesign business processes as appropriate as well as facilitate process change.
Support and conduct quality assurance activities as necessary for internal and external efforts related to Medicare program.
Work with cross functional business owners, stake holders, and government entities to ensure all required measures are achieved.
Immigration or work visa sponsorship will not be provided for this position
Hiring Compensation Range: $75,000 - $85,000 annually
Compensation may vary based on factors including but not limited to skills, education, location and experience.
In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.
As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here (http://www.independenthealth.com/about/careers/additional-eeo-aap-information) for additional EEO/AAP or Reasonable Accommodation information.
Current Associates must apply internally via the Job Hub app.
The Independent Health Family of Companies, headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.
Our culture sets us apart. Our core values drive who we are and the work we do. As a member of our family, you’re part of something special, in your work and in the community.
We understand and appreciate that everyone has unique experiences, perspectives and identities which is why we pledge to create a safe space where all people and ideas are welcomed. We are here to continue learning and to generate important dialog.
We are committed to doing what matters most - reaching out, working together, and caring for our community. A healthy community benefits everyone who lives in it. You too can be part of making difference in the lives of others, together we achieve so much more. Please click here (http://www.independenthealth.com/about/community-report) to view our Community Reports.
Apply today and join us on the journey to a happier, healthier, and more inclusive community.
We are committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. We are a drug-free workplace. An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: accommodations@independenthealth.com or Human Resources, 511 Farber Lakes Drive, Williamsville, NY 14221.
Please note, we do not accept unsolicited resumes. We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.