Manager, Government Programs

ABOUT PERFORMANT:

At Performant, we’re focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Through this important work we accomplish our mission: To offer innovative payment accuracy solutions that allow our clients to focus on what matter most – quality of care and healthier lives for all.

If you are seeking an employer who values People, Innovation, Integrity, Fun, and fostering an Ownership Culture – then Performant is the place for you!

ABOUT THE OPPORTUNITY:

Hiring Range: $115-140k

The Government Programs Manager is an individual contributor position with no direct personnel responsibilities that is responsible for overall contract management, project management and service delivery for a federal and/or state government contract.  This includes, but is not limited to customer engagement, customer satisfaction, contract management, financial management and financial results, etc.  This position is responsible for the management of the full range of project life cycle, which includes but may not be limited to Project Initiation, Project Planning, Project Execution, Projection closeout, and all Project Management related tasks from contract start to contract end. In addition, the position may be responsible for assisting with sales efforts focused on acquiring new client opportunities, and/or retaining existing contracts that have reached the re-procurement stage.

Key Responsibilities to include:

Relationships and Collaboration

• Build relational internal and external network within contract/assigned accounts

• Leads cross functional implementation teams

• Leads cross functional operational teams

• Mentor and train other Government Programs staff and operational staff assigned to government contract as needed and as applicable

Solution Delivery and Client Satisfaction

• Develops implementation strategy, plan and resource requirements for new accounts or projects

• Establishes metrics, process flow, roles & responsibilities, timelines, budgets, Standard Operating Procedures, and requirements for project go-live

• Identifies opportunities for increased efficiencies to processes, systems and tools used in delivering client services

• Supports, and where applicable, leads compliance reviews and takes initiative for recommendation and action to mitigate risks

• Review and input to reporting and analytics for assigned accounts

• Leverage analytics to identify efficiency opportunities, mitigate potential risks or issues, monitor service delivery activity, and provide status reports

• Has accountability for resolution of complex or escalated invoicing issues with client

Team Collaboration

• Works closely with operational, audit and clinical teams to ensure maximum efficiency and effective management of government contract. This may include the assignment and supervision of tasks, timelines, etc., without the ability to own the personnel reporting relationship. Therefore, the successful candidate must be able to work cooperatively and collaboratively with peers and members of applicable leadership to ensure the success of the applicable contract, without again owning personnel responsibilities.

• Provides coaching, feedback and holds accountability for results and behaviors, and serves as positive role model and leads by example in alignment with company mission, vision, and values

Internal Business Process Improvement

• Participate in developing a program management process based on project and client services best business practices and procedures

Continuous Improvement:

• Identify opportunities for process improvement and efficiency gains within the audit function.

• Implement best practices and innovative approaches to enhance the effectiveness and efficiency of audit processes.

• Support and foster a culture of continuous learning and development within the audit teams.

• Supports the continuous development of innovative solutions and concepts across all possible claim categories and claim types utilizing all available proprietary software, business intelligence, reports, and engineering resources. Works to optimize audit processes and efficiencies.

• Continually work to improve efficiency, and productivity and reduce operational costs while providing 100% compliance with customer contracts and company policies

Partnership:

• Effectively work with clients, customers, and partners to accurately assess needs, provide information or assistance, resolve problems, or satisfy requirements.

• Balances customer demands with sound business management and effectively match resources to the job and execute to meet business needs. 

• Takes initiative in gathering information and incorporates this knowledge and information to ensure projects meet organizational goals.

• Embraces change and new information, adapting behavior and work methods when necessary.

• Champions new ideas and methods when the organizational benefits outweigh the costs.

• Perceives the impact and implications of important decisions; commits to action, even in uncertain situations, that support accomplishment of organizational goals.

Knowlege, Skills and Abilities Needed:

• Requires exceptional influencing, facilitation, and communication skills coupled with analytical and critical thinking abilities.

• Ability to deal well with ambiguity. Can effectively shift focus and priorities comfortably, can decide and act without having the total picture, comfortable handling risk and adversity.

• Applies excellent interpersonal skills both in one-on-one situations and in larger group meetings.

• Proven ability to work independently and in cross-functional teams, with Government customers and key stakeholders through collaboration, adapting and consulting.

• Possess ability to work in team environment where collaboration and the knowledge transfer process are critical for success.

• Ability to build strong relationships both internal and external to the organization

• Exercises excellent judgment and possesses a keen attention to detail

• Demonstrates initiative, creativity and innovation to drive excellent customer results and satisfaction

• Demonstrates good judgment by anticipating the consequences of actions and weighing multiple, sometimes conflicting, priorities

• Ability to make good decisions and perform work independently to drive results given direction in the form of assigned goals objectives.

• Demonstrated ability to provide excellent service to diverse clients and maintain positive attitude in fast paced, dynamic environment

• Able to solve complex problems, and resolve disagreements with informed, rational debate.

• Acts with confidence and achieves results

• Builds credibility and trust

• Mind-set of continuous improvement and adapts quickly to change

• Strong computer application skills (Microsoft office suite, and others)

• Experience in managing projects and programs with cross matrix teams

• Ability to manage multiple projects simultaneously with exceptional organizational skills under pressure

• Strong process, project and program management skills

• Strong management skills in coaching, mentoring and training

Required and Preferred Qualifications:

• Minimum 3-years’ experience supporting and leading operational audit related tasks associated with Medicare Recovery Audit Contracts, Medicaid Recovery Audit Contracts, OR, commercial healthcare related recovery audit contracts

• Minimum 8-10 years senior professional level experience in corporate or healthcare management environment, including experience working with Government clients.

• Minimum 5-7 years of experience in corporate or healthcare management environment with direct management responsibility for teams of 5 or more.

• Minimum of 5 years of experience leading and directing large cross functional project teams.

• Bachelor’s degree desired, but not required, in business, finance, management, or related field. High School Diploma or GED is required.

• Certified Project Management Professional (PMP), Medical Coder, Registered Nurse (RN), healthcare management or other medical field degree or certification for healthcare account focused positions desired, but not required.

WHAT WE OFFER:

Performant offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, disability coverage options, life insurance coverage, 401(k) savings plans, paid family/parental leave, 11 paid holidays per year, as well as sick time and vacation time off annually. For more information about our benefits package, please refer to our benefits page on our website or ask your Talent Acquisition contact during an interview.

Physical Requirements & Additional Notices:

If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required.  Proof of such may be required prior to an offer being made.  It is the Employee’s responsibility to maintain this Internet access at their home office location.

The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.

• Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse.

• Regularly reads and comprehends information in electronic (computer) or paper form (written/printed).

• Regularly sit/stand 8 or more hours per day.

• Occasionally lift/carry/push/pull up to 10lbs.

Performant is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:

• Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions).   Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions.

• Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists.

• Must complete the Performant Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.

• Other requirements may apply.

All employees and contractors for Performant Financial may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times.  Violations to Performant’s policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.

Performant is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Performant will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Performant’s Human Resources team to discuss further.

Our diversity makes Performant unique and strengthens us as an organization to help us better serve our clients. Performant is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.

THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED