Operations Coordinator/Administrative Assistant – Medicare/Medicaid Programs

Job Title
Operations Coordinator/Administrative Assistant – Medicare/Medicaid Programs
Job ID
Easton,  MD
Other Location
Operations Coordinator/Administrative Assistant – Medicare/Medicaid Programs
Easton, MD (Hybrid)

@Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Our Client is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for under-served communities.

Are you an experienced administrative assistant recognized for your attention to detail, organizational skills and ability to effectively communicate with a wide range of people?  Do you have exceptional technical abilities to include proficiency in Microsoft Office and related applications?  Do you approach your work with a sense of urgency and a desire to see it through to a timely completion?  If yes, we've got the perfect opportunity for you!  

As an Operations Coordinator, you will support their efforts to make a positive difference in the future of the Medicare and Medicaid programs.The Program Integrity Contractors (UPIC West) team team identifies and investigates fraud, waste and abuse in the Medicare and Medicaid programs covering 16 Western states territories.
The company offers an excellent benefits package with health insurance, two retirement plans, generous vacation and sick leave accruals and opportunities for advancement.
The Operations Coordinator’s duties and responsibilities include the following but are not limited to: 

  • Liaison to CMS and other governmental entities to obtain/provide information, identify issues and assists with timely responses to inquiries regarding contract.
  • Responds to client inquiries via written or oral communications.
  • Ensures contract compliance by monitoring deliverables, contract requirements, and communicating Medicare change requests.
  • Works with other business units to ensure the effective coordination of objectives/deliverables, establish permissions in systems, perform quality review of deliverables to ensure compliance in accordance with applicable regulations within the scope of work, managing activities, and facilitating project by setting priorities.]
  • Coordinate and manage the transition of workloads, and serve as the interface with other entities.
  • Contractor Administrator for CMSARTs system.
  • Writes reports, prepares presentations, and ensures the timely approval by Program Director of deliverables.
  • Provides training and technical advice to team members.
  • Coordinates new CMS User ID set ups and background verifications.
  • Works with Quality Director/Officer on ISO initiatives to improve operational systems, processes and policies to improve information flow, management reporting, business process and organizational planning.
  • Facilitates project logistics such as meetings, conference rooms, conference calls, etc.
  • Participates and/or leads internal/external committees as assigned.

Education and/or Experience Required:                                       
  • High school diploma or GED required, Associates Degree in business preferred.
  • At least 1 year of experience in an intermediate-level administrative position; or an equivalent combination of education and experience.
  • Strong writing skills to take and draft meeting minutes from regular meeting with state partners and CMS.
  • Prior experience working with medical records strongly preferred.
  • Prior experience working on government contracts strongly preferred. 
  • Intermediate proficiency with Microsoft Office to include Excel, Access, PowerPoint, Word and Outlook. 
  • Working knowledge of Medicare and/or Medicaid protocols for Fraud and Abuse investigations is preferred.  
  • Experience working with customer requirements and coordinating reports and deliverables.

Established in 2010, @Orchard has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI.  Our specialty lies in the critical area of program talent acquisition and resource management, not in one narrow skillset, but across many areas of technical and functional delivery. To learn more about our other exciting opportunities, visit our Jobs Page at www.atorchard.com.

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