Job Summary:

• Prepare and review all group (Medicare, Medicaid, Out of State Medicaid, Managed Care Medicaid) applications, revalidations, TIN changes, any other changes that require a group
• Assess health plans and hospital systems requirements to determine the impact to the payer and provider
• Serve as the company expert for all group provider enrollment-related activities (Medicare, Medicaid, Out of State Medicaid, and Managed Care Medicaid).
• Research and coordinate the gathering of group enrollment requirements such as state processing time, changes of ownership, backdate requests, required group documentation, health plan forms/details, adverse legal history, authorized-delegated information, lockbox information, and all required information needed to complete
• Ensuring that all training documentation and workflows for the Provider and Payor Enrollment is updated to adhere with current state and federal
• Oversee CMS audits and the implementation of corrective
• Manage MDLIVE’s National Physician Associations (PAs)
• Manage CMS CSA network onboarding, configuration, and product enhancements
• Oversee the CMS provider and payor credentialing and re-credentialing according to the client, state, federal and accreditation requirements
• Assist and manage quality and data reporting to client CMS delegations

Skills on Resume: 

• Group Applications (Hard Skills)
• Health Plan Assessment (Hard Skills)
• Enrollment Expertise (Soft Skills)
• Requirement Research (Hard Skills)
• Training Documentation (Hard Skills)
• CMS Audits (Hard Skills)
• Credentialing Oversight (Hard Skills)
• Quality Reporting (Hard Skills)

Job Summary:

• Develop and manage appropriate reports to clients based on agreed-upon format and timelines
• Audit all CMS provider files for all networks prior to being presented to the medical director or credentialing committee
• Assist and participate in the preparations for CMS delegations and the accreditation process 
• Develop and maintain all CMS policies and procedures for department processes and revise
• Prepare and review all group applications, revalidations, ownership changes, any other changes that require a group application
• Research and coordinate the gathering of group enrollment requirements
• Notify RCM to approve the release of claims and to unpend claims
• Assist in the development of group application process improvement, maintain and revise group application
• Be a process owner for any group provider enrollment application or system required for entity set up and maintenance
• Manage enrollment activities to ensure accurate and timely enrollment of providers on appropriate health plans
• Develop reports to various department managers and staff to discuss issues, obtain feedback and disseminate information regarding credentialing issues
• Attend the NAMSS or FAMSS conference when applicable

Skills on Resume: 

• Report Management (Hard Skills)
• CMS Auditing (Hard Skills)
• Accreditation Assistance (Soft Skills)
• Policy Development (Hard Skills)
• Group Applications (Hard Skills)
• Requirement Coordination (Hard Skills)
• Claims Approval (Hard Skills)
• Process Improvement (Soft Skills)

Job Summary:

• Maintain USDA program requirements and regulations of CSFP and TEFAP contracts governed by USDA/FNS and the State of Colorado.
• Provide support and oversight of the Government Programs Division staff in preparation of scheduled audits.
• Report areas of non-compliance to the Government Programs Director with recommended corrective action plans to bring compliance issues to resolution.
• In partnership with the Government Programs Lead, ensures USDA and CDHS food distribution regulations are adhered to
• Coordinate, schedule and perform site visits annually and/or biannually, dependent on program
• Client eligibility and recertification processes conducted
• Partner food safety and civil rights certification is completed annually
• Assist Government Programs Director & VP of Programs with executing the strategic plan, meeting fiscal year goals and program requirements and deadlines
• Provide daily leadership, guidance, and support to the Government Programs Division by encouraging and providing staff the resources to safely and effectively accomplish individual and collective goals.
• Monitor and improve division policies, processes, and procedures to ensure program processes are streamlined with the operational side, to include Daily and monthly inventory cycle counts

Skills on Resume: 

• USDA Compliance (Hard Skills)
• Audit Support (Soft Skills)
• Non-compliance Reporting (Soft Skills)
• Food Distribution (Hard Skills)
• Site Visits (Hard Skills)
• Eligibility Processes (Hard Skills)
• Leadership Guidance (Soft Skills)
• Policy Improvement (Soft Skills)

Job Summary:

• Ensure the Delivery team exceeds the client’s expectations
• Delivery schedules and assurance of food products are loaded for delivery
• Accountable for TEFAP and CSFP products
• Ordering, monitoring entitlement funds and expenditures to ensure equitable product ordering throughout the fiscal year, and responsible for oversight of TEFAP Inventory and distribution of product by expiration date.
• Ensure product category and quantities are in house for box building while maintaining regulated inventory levels, and responsible for oversight of CSFP inventory and product distribution by expiration date.
• Establish and implement communication, customer service, and training processes with partner agencies to include monthly e-newsletters, surveys, touchpoints, webinars, grant credits, etc.
• Oversight for the once-a-month Saturday distribution
• Point of contact for volunteers, staff, and ensuring the distribution runs smoothly.
• Responsible for all required monthly and quarterly reports due to CDHS.
• Liaises with the USDA state representatives.
• Lead projects focused on the customer experience such as education and training initiatives, launching and growing 1:1 or 1:many customer support solutions, and partnerships to implement customer experience improvements

Skills on Resume: 

• Client Satisfaction (Soft Skills)
• Delivery Assurance (Hard Skills)
• Inventory Oversight (Hard Skills)
• Product Ordering (Hard Skills)
• Communication Processes (Soft Skills)
• Volunteer Coordination (Soft Skills)
• Report Management (Hard Skills)
• Project Leadership (Soft Skills)

Job Summary:

• Works closely with key leadership to help monitor the day-to-day operations of the assigned Business Units.
• Ensures that all performance standards meet or exceed internal standards and contractual requirements.
• Implements a process for continual quality improvement and operational efficiencies.
• Oversees the business requirements for contracted vendors and subcontractors to ensure compliance with all reporting and compliance guidelines.
• Reviews all applicable training programs to meet or exceed government requirements.
• Collaborates to develop policies and procedures to meet and exceed all government performance requirements.
• Manages the work of the individuals reporting directly to this position. 
• Coordinates and prioritizes work
• Provides individuals reporting directly to this position with guidance, training, counseling, and feedback.
• Prepares and conducts performance appraisals for individuals reporting directly to this position. 
• Effectively communicate relevant insights around feedback, challenges, and roadblocks to appropriate stakeholders that influence and drive roadmap prioritization
• Collaborate with Sales, Business Planning, Operations and vendor support teams to develop multi-faceted solutions to fix problems at scale at all stages of the support process

Skills on Resume: 

• Operational Monitoring (Soft Skills)
• Performance Standards (Hard Skills)
• Quality Improvement (Hard Skills)
• Vendor Compliance (Hard Skills)
• Training Programs (Hard Skills)
• Policy Development (Hard Skills)
• Team Leadership (Soft Skills)
• Problem Solving (Soft Skills)

Job Summary:

• Act as a liaison/facilitator between the client and Exiger stakeholders to resolve issues to meet client's needs
• Deliver excellent client service to achieve client satisfaction
• Monitors workflow and overtime within the department and redistributes or prioritizes work accordingly.
• Coordinates interview process, interviews applicants, and selects candidates for employment. 
• Remains sensitive to issues within the department and works with staff to resolve conflicts. 
• Ensures consistent application of policies among staff.
• Ensures compliance with all Federal & State regulatory requirements.
• Liaison with applicable Federal and/or State government entities.
• Ensures that Government Programs projects that intersect with the Health System are cohesive and operational. 
• Participates in applicable meetings to remain up-to-date on Health Plan projects.
• Inform, influence, and execute new processes based on sound analysis and impact metrics that lead to improvements in efficiency and quality of support
• Conduct in-depth investigations to identify and understand trends through leveraging data patterns and soliciting qualitative feedback from users

Skills on Resume: 

• Client Liaison (Soft Skills)
• Client Service (Soft Skills)
• Workflow Management (Hard Skills)
• Interview Coordination (Hard Skills)
• Conflict Resolution (Soft Skills)
• Policy Consistency (Hard Skills)
• Regulatory Compliance (Hard Skills)
• Process Improvement (Soft Skills)

Job Summary:

• Manage all Statements of Work (SOW) and Contract Modifications (MODs) to ensure compliance and successful completion of contracted milestone items
• Establish, monitor and communicate performance measurements and metrics
• Lead, manage and evaluate staff performing duties for the government programs for which the PM is assigned
• Meet financial objectives by forecasting monthly, quarterly and annual requirements, prepare appropriate budgets, expense reports, schedule expenditures, analyze variances, and initiate corrective actions
• Track, schedule and appropriately assign data requirements lists (CDRLs) deliverables per contract requirements
• Create and deliver presentations to internal and external audiences – weekly status report, Monthly Contract Status Report (MCSR), annual reporting requirements
• Communicate effectively with all government stakeholders
• Ensure goals are met in areas including customer satisfaction, safety, quality and team member performance.
• Produce accurate and timely reporting of program status throughout its life cycle
• Prepare annual and ad-hoc reports for the VIGILINT executive team
• Collaborate effectively across all business functions in the company

Skills on Resume: 

• Contract Management (Hard Skills)
• Performance Metrics (Hard Skills)
• Staff Leadership (Soft Skills)
• Financial Forecasting (Hard Skills)
• Data Tracking (Hard Skills)
• Presentation Delivery (Soft Skills)
• Stakeholder Communication (Soft Skills)
• Reporting Accuracy (Hard Skills)

Job Summary:

• Gain expert knowledge of the client’s requirements and future plans.
• Ensure Exiger is delivering to and planning for near and long-term client objectives
• Work closely with clients to be a trusted advisor for mission enablement
• Contact with all government contracts, POs, and task orders
• Serves as sales contact for all government contracts, large groups, and intern programs
• Administrative point of contact for GSA contract to include all reporting, tracking, bids, and audits
• Responsible for all government reporting (GSA, SAM, SBA)
• Supports business development tasks such as government marketing outreach campaigns, client presentations or related special projects for lead generation
• Serves as a resource and conduit of information and communication between the government sales team and the local markets
• Works with the Government Account Executive and other SMEs in the development and writing of government proposals
• Develop compelling data-backed analyses on ways to improve the customer experience, looking at both product fixes and operational improvement opportunities

Skills on Resume: 

• Client Knowledge (Soft Skills)
• Client Planning (Soft Skills)
• Trusted Advisor (Soft Skills)
• Contract Management (Hard Skills)
• Sales Contact (Soft Skills)
• Government Reporting (Hard Skills)
• Business Development (Soft Skills)
• Proposal Writing (Hard Skills)