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Program Manager

TDB Communications, Inc.

This is a Contract position in Pittsford, NY posted April 30, 2021.

TDB Communications, Inc. is currently seeking a full-time Program Manager for our client, Capitol Bridge, LLC (Capitol Bridge). Capitol Bridge is a dynamic, rapidly maturing federal government contracting firm with a diverse portfolio of customers and offices in several states. The ideal candidate will bring an understanding built on experience of the unique requirements of working in such an environment. The primary purpose of the Recovery Auditor Validation Contractor (RVC) is to review Recovery Audit Contractors’ (RACs) claim determinations on Medicare claims that were paid under part A or B of title XVIII of the Social Security Act, and to ensure that the Recovery Audit Contractors (RACs) are not unnecessarily denying Medicare claims that were properly paid. The RVC PM shall have authority to act for the contractor on all contract matters relating to daily operations. This includes but is not limited to day-to-day contact with the CMS RVC COR, oversight of contract performance, and obtaining staff necessary to conduct the RVC work. The PM shall be involved in all tasks associated with this contract. The PM must be full-time, fully dedicated, and available to the CMS RVC COR between 8:00 am to 5:00 pm ET Monday-Friday. The PM shall have extensive knowledge of the Medicare program and working knowledge of the CMS FFS Recovery Audit Program requirements and activities. Work Experience: The PM shall have five (5) or more years prior work experience as a PM, preferably with large, complex projects. The CMS is also requiring this candidate to have experience in medical review and extensive nursing clinical experience in a variety of health care settings. Education: The PM shall possess a bachelor’s degree in nursing from an accredited institution. This professional is required to have a current license in nursing in the United States or U.S. Territory. The PM shall also have a master’s degree in business or management from an accredited institution. In lieu of a master’s degree, the PM shall have a bachelor’s degree and at least an additional three (3) years of related work experience in Program Management.