Program Director - Third Party Liability (TPL)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow.

Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, flexibility, learning, and career development.

You’ll have the opportunity to add to your technical credentials and certifications while enjoying a great company culture above all.

We are looking for a talented Program Director who will be responsible for overseeing routine delivery of client services and day-to-day management of client relationships and overall contract of P&L.

Your role in our mission

Essential Job Functions :

• Serves as the primary liaison with clients and is responsible for overall client satisfaction.
• Dedicated responsibility for leading / managing all account and contractual aspects, such as planning, scheduling, coordination, quality assurance, and reporting of workload and financial results.
• Manages an operating budget with P / L responsibility including monthly accrual, revenue and expense projections.
• Introduces, negotiates, and implements new projects to expand scope of engagement.
• Develops and maintains a project status reporting system to ensure all contract deliverables are tracked, monitored, and completed timely.

Provides status reports to Senior Management and clients detailing the progress and accomplishments in meeting contract deliverables.

• Works with Senior Management to develop and implement a strategic business plan to achieve enterprise goals.
• Works with clients and stakeholders (both internal and external) to monitor and communicate progress, identify and manage risk, and communicate consistently and effectively.

Attends status meetings with client stakeholders and presents results of contract work. Communicates effectively on action items and issues.

• Provides analysis and expertise when compiling and reporting operational results and contract deliverables.
• Analyzes business functions in order to identify process improvement and / or cost saving opportunities.
• Leverages technology and data to automate processes and improve results.
• Proactively identifies and develops solutions to resolve critical issues.
• Identifies gaps and recommends enhancements related to new and / or existing technology, processes, and existing products and / or services based on broad view of the organization.
• Influences and promotes change in order to improve performance results, organizational effectiveness and systems / quality / services.
• Assists in the development and maintenance of processes that measure efficiency, productivity, and monitor customer satisfaction.
• Works with clients and stakeholders to shape procurements and identify opportunities for value added services. Leads procurement processes and RFP responses.
• Participates in and contributes to quality management efforts.
• Monitors competitor landscape through constant review of competitor activity or wins. Tracks legislative and regulatory initiatives through consistent reporting.

Inquiries into competitive landscape within assigned states.

• Engages in the strategy and development of government affairs programs specific to assigned account(s).
• Interacts with Gainwell executives, supporting staff, state constituencies including legislators and governor's staff.

What we're looking for

Basic Qualifications

• BA / BS - (Business / IT / Accounting / Healthcare preferred)
• 3+ years of Medicare / Medicaid / Public Health experience
• 3+ years of Third Party Liability (TPL) experience
• 3+ years of project management experience
• 5+ years of client facing experience
• 5+ years of MS Office
• Strong knowledge of Budgets / Forecasting

What you should expect in this role

Work Environment

• Remote position
• Candidates MUST live within the Tri-State area (NY,NJ,PA)
• Monthly travel to Trenton, NJ is required
• Yearly bonus, up to 20%

LI-REMOTE

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The pay range for this position is $120,000 - $130,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development.

All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone.

Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth.

Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

We celebrate diversity and are dedicated to creating an inclusive environment for all employees.