Program Manager - Federal IDRE Services

March 24

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Mobile Phone Recycling Organisation (MPRO)

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MPRO is a recognized leader in healthcare quality improvement, dedicated to enhancing the healthcare system through innovative solutions. With over 40 years of experience, MPRO specializes in independent medical review, utilization review, and initiatives aimed at improving Medicare and Medicaid programs. The organization demonstrates a strong commitment to delivering high-quality and cost-effective healthcare services across the nation, making a significant impact in the community and the healthcare landscape.

Recycling all Makes & Models of Mobile Phone • Secure Data Wiping • Supply Grade-A Quality Refurbished Mobile Phones • Repair all Makes & Models of Mobile Phones • Customising iPhones - in various colours and finishes

1 - 10 employees

Founded 2007

⚕️ Healthcare Insurance

🧬 Biotechnology

🌍 Social Impact

📋 Description

• Oversees day-to-day operations of the Federal IDRE program • Ensures quality and timeliness of deliverables • Works with the managing director to increase review service business lines • Guides direct reports and team members • Identifies efficiencies • Manages budgets and project operations • Researches and develops processes that meet federal guidelines • Applies medical review background to improve workflows and processes • Completes tasks as designated by the director • Attends and presents at conferences/meetings as appropriate

🎯 Requirements

• Bachelors degree in nursing or related healthcare field required • Masters degree preferred • RN preferred • Minimum of 5 years clinical or related healthcare experience required • Minimum 3-year management experience required • Healthcare claims review experience required • Knowledge of the Federal No Surprises Act and Utilization Management/Utilization Review preferred • Experience implementing quality improvement methodology and tools required • Quality Improvement certification a plus • Project management and staff supervisory experience required • Project Management certification a plus • Ability to read and interpret federal/state programs and regulations required • Excellent written and verbal communication skills required • Exceptional organizational, project management and customer service skills required • Experience with written and electronic documentation review required • Ability to multi-task working on more than one contract/project simultaneously required • Ability and willingness to work outside of normal business hours as needed

🏖️ Benefits

• medical • dental • vision • life insurance • short term and long-term disability • generous 401k match