UCM
The Centers for Medicare & Medicaid Services (CMS) is enhancing program integrity efforts to combat fraud, waste, and abuse within Medicare and Medicaid. The Unified Case Management (UCM) system serves as a centralized application for Program Integrity Contractors, facilitating case tracking, audits, investigations, and workload management. UCM supports coordinated efforts to prevent fraud and ensure compliance through efficient lead management, investigative actions, and reporting. As part of CMS’s modernization initiative, we are transforming UCM into a modern, scalable architecture that enhances performance, security, and usability. This effort includes migrating to cloud-based solutions, improving system interoperability, and adopting cutting-edge technologies to streamline workflows and improve data-driven decision-making. Our goal is to ensure a more robust, efficient, and future-ready platform for program integrity operations.
Security Clearance Requirements
- US Citizenship or Green Card only - we do not offer Sponsorship
- US Residency for at least the past 3 years
- Able to meet the requirements to hold a position of Public Trust, including successful completion of a US Government background investigation
- Disclaimer: Medical or recreational marijuana use is considered illegal at the federal level, regardless of state laws allowing such, and may affect your ability to obtain Public Trust. See article
Work that matters, with perks that deliver. Discover how Bellese Technologies invests in you through a benefits suite that makes every day better
- Remote First, Remote Only Culture
- Four weeks paid time off yearly (prorated based on start date for the first year)
- 10 paid floating company holidays
- Flexible schedule
- Work from home setup including a Macbook
- Collaborative, learning environment
- Medical, dental, and company-paid vision insurance
- Optional HSA account with some medical plans and a company contribution
- Company paid basic life and AD&D insurance coverages
- Company paid short and long term life insurance
- Optional critical illness and accident insurance
- 401K plan with 3% safe harbor contribution
- Wellness resources and virtual care
- Perks Plus employee discounts
You will like it here if
- You foster a collaborative ethos, driven by the mission to deliver exceptional customer service to clients. You are passionate about Healthcare and changing the healthcare landscape. You’re an out of the box thinker, always striving to know the “why” when it comes to building solutions. You excel in a team-oriented, remote-first environment characterized by mutual respect and open communication. Your adaptability and ability to navigate challenges ensure your success in any situation.
Primary expectations of a Program Director include:
- Experienced in the ability to manage all aspects of program performance (i.e. technical, contractual, administrative, financial) and coordinating program activities across multiple efforts
- Exhibits stakeholder management skills, with the ability to develop and maintain strong client relationships
- Effective communication skills, collaborating with stakeholders for changes to program scope, timeline, or budget.
- Manages planned contract revenue, billable utilization, and gross profit achievement
- Utilizes influential skills to translate client vision and drive project activities to successful outcomes, with the ability to shape client success outcomes and metrics
- Serves as a trusted partner, and advises clients on strategic vision and direction
- Manages contractual obligations and oversees and manages output of sub contracting partners
- Recognizes issues and conflicts and problem solves solutions, strategically turning barriers into opportunities.
- Negotiates outcomes and agreements that benefit the project and company
- Advanced ability to partner with technical and growth leaders to identify and drive organic and new growth opportunities.
- Advanced ability to develop strategic program plans that benefit the organization over the long term.
- Advanced ability to identify program risks and implement mitigation techniques in a timely manner.
- Responsible for hiring, performance management, timecard reviews, PTO management and team development
Basic Qualifications
- Bachelor's degree and 8+ years of experience
- 5+ years of experience managing technology service delivery projects
- Working knowledge of Federal Contract execution
- 3+ years of experience in Agile Software Development
- 5+ years of experience in a leadership role in a client services organization
- Demonstrated experience selling in a client services environment
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