Program Director - Third Party Liability (TPL)

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%

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