Program Director – WTC Health Program (COB & Recovery Program)Broadway-Ventures • New York, New York, United States
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Program Director – WTC Health Program (COB & Recovery Program)
Broadway-Ventures
- New York, New York, United States
- New York, New York, United States
À propos
Position Summary The Program Director serves as the primary leadership and management point of contact for a large-scale federal healthcare program focused on cost avoidance, coordination of benefits (COB), and claims recovery. This role oversees contract performance, ensures operational excellence, and maintains strong relationships with federal stakeholders and program partners.
Key Responsibilities
Serve as the primary liaison between the organization and the WTC Health Program, including communication with Program Management, Contracting Officer (CO), and Contracting Officer Representative (COR)
Provide end-to-end oversight of contract operations, ensuring all deliverables meet quality, timeliness, and compliance standards
Lead execution of a comprehensive cost avoidance, COB, and recovery program across pre- and post-payment processes
Ensure accurate and timely submission of reports, deliverables, and ad hoc requests
Oversee implementation and adherence to a robust quality assurance program
Manage cross-functional teams supporting insurance identification and verification, coordination of benefits (COB), and payment integrity and fraud, waste, and abuse (FWA) efforts
Maintain effective communication channels with internal staff and external stakeholders, including government entities and program partners
Drive performance monitoring, operational improvements, and cost containment strategies
Ensure compliance with federal regulations, HIPAA requirements, and contractual obligations
Foster and maintain strong business relationships with all program stakeholders
Required Qualifications
Minimum 10+ years of experience in coordination of Benefits (COB) and claims recovery/payment integrity
Proven experience managing large, complex government contracts or programs
Strong knowledge of insurance coordination (OHI, Workers’ Compensation) and payment integrity and recovery operations
Demonstrated leadership experience managing cross-functional teams and stakeholders
Experience ensuring contract compliance, reporting accuracy, and SLA performance
Excellent communication and stakeholder management skills
Preferred Qualifications
Experience working with federal health programs (e.g., CMS, CDC, or similar)
Familiarity with data analytics, fraud detection platforms, and recovery systems
Experience in healthcare cost containment and program integrity initiatives
100% remote/offsite, with occasional travel (estimated 4+ trips annually) to Washington, DC; New York City; Cincinnati; Atlanta
Why This Role Matters This role plays a critical part in improving healthcare efficiency and cost control for a federally mandated program serving 9/11 responders and survivors. The Program Director ensures financial integrity while maintaining high-quality care delivery.
Equal Employment Opportunity Statement Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law. Reasonable accommodations are available for applicants with disabilities.
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Compétences linguistiques
- English
Avis aux utilisateurs
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