Manager Medicare Change Request - 36037

WellPoint is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide.Location: Indianapolis, IN (highly preferred)
Hiring manager may be open to Louisville, KY and Syracuse, NY
 
Responsible for ensuring that all the Centers for Medicare/Medicaid Services (CMS) Change Requests (CRs), Draft Change Requests (DRAFTS), and Joint Signature Memorandums/ Technical Direction Letters (JSM/TDLs) for National Gov't Services (NGS) are reviewed, analyzed for operational impact, calculated for cost impact and implemented timely. Primary duties may include, but are not limited to:
Provides oversight and support to a team who analyzes and tracks all CMS CR's, DRAFTS, and JSM/TDL's for the company.Ensures accurate and timely completion of implementing CMS Change Requests to ensure NGS passes all internal and CMS audits. Analyzes reviews and approves internal system maintenance requests and process/workflow requests from all functional areas for all contracts.Successfully implements and continuously improves/updates a company-wide change management tracking database.Process all requests accurately and timely. Assist operational areas in evaluating their workflow processes.Work with Finance to collect comprehensive, pertinent and useful financial impact data to support NGS's effort in effectively supporting the Federal Acquisition Regulation (FAR).Ensures coordination duties are being carried out according to Joint Operating Agreements (JOA), NGS is fulfilling its duties under the JOA and identifies potential operational and strategy opportunities.Meets the requirements of formal interaction with all other Medicare contractors working with NGS on multiple Medicare contracts.Facilitates communication on changes to outside contractors and across all levels of NGS.Coordinates inquiries from NGS to CMS including clarifications on program instructions, required responses and disclosures and performs other official correspondence between CMS and NGS as needed.Monitors and tracks the successful completion of MAC Contract Deliverables, Develops and updates Contract Administration References that serve to advise each Operational area of their responsibilities and requirements under each MAC Contract.Hires, trains, coaches, counsels, and evaluates performance of direct reports.  
 
 
Requires a BA/BS degree in a related field, 5 years Medicare experience highly preferred, 3 years management experience; or any combination of education and experience, which would provide an equivalent background. FAR contracting experience preferred. Excellent oral, written and interpersonal communication skills required. Excellent analytical ability, strategic planning, negotiation, organizational, managerial and leadership skills required. Strong PC Capabilities required. Ability to travel overnight required.