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Remote RN Program Manager — CMS Medical Review
Job summary
A healthcare consulting firm based in the U.S. is seeking an experienced Clinical Program Manager to oversee the CMS Review and Validation Contractor Program. The ideal candidate will have a strong clinical background and extensive Medicare knowledge. Responsibilities include managing operational matters, overseeing compliance, and leading cross-functional teams. This is a full-time, remote position with competitive compensation and a benefits package.
Benefits
Qualifications
- 5+ years of Program Management experience overseeing large healthcare projects.
- Experience in medical review, healthcare auditing, or clinical review operations.
- Extensive knowledge of the Medicare program, including CMS regulations.
Responsibilities
- Serve as the contractor’s authorized representative on operational matters.
- Maintain ongoing communication with the CMS RVC COR.
- Oversee medical review activities for compliance with CMS guidelines.
Skills
Education
* The salary benchmark is based on the target salaries of market leaders in their relevant sectors. It is intended to serve as a guide to help Premium Members assess open positions and to help in salary negotiations. The salary benchmark is not provided directly by the company, which could be significantly higher or lower.