Claims Processing Program Manager - SDVInternational

The Program Manager (PM) shall provide the supervision needed for all Contractor personnel to perform the scope of work accurately, efficiently and within established time frames to attain required performance metrics. The PM shall be the primary interface with the Government customer. The PM shall work with SDV INTERNATIONAL back office staff to ensure this contract is sufficiently staffed and there is no lapse in services.

More information available during the interview process.

Requirments

Minimum Experience: The PM 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 shall have demonstrated success leading a large team focused on meeting organizational goals, continuous improvement and implementing human capital management strategies. 

The PM shall possess in-depth subject matter knowledge and judgement to direct the performance of the personnel. In addition, the PM 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 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.

Benefits

SDV INTERNATIONAL provides a competitive benefits package to include, Medical, Dental, Vision, 401k, Flexible Spending Account, and Paid Time Off, including vacation and holiday pay.

SDV INTERNATIONAL is an Equal Employment Opportunity employer and it is our policy to consider all applicants for employment without regard to sex, race, color, creed, religion, national origin, sexual orientation, marital status, age, disability, veteran status, alienage, ancestry, citizenship status, or any other factors prohibited by law