Senior Partner Relations Liaison – CMS Healthcare Fraud Prevention

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee relationships within a portfolio of Healthcare Fraud Prevention Partnership (HFPP) members and the Trusted Third Party (TTP).

• Initiate and sustain regular, consistent communication with all HFPP Partners.

• Ensure that assigned Partners comprehend and utilize the benefits of HFPP membership.

• Gather Partner feedback and relay it to TTP and HFPP leadership.

• Involve Partners in discussions regarding HFPP analytics.

• Aid with partner onboarding processes, including completing data sharing agreements.

• Assist with inputting data into the TTP Data Warehouse.

• Provide support for both HFPP and non-HFPP events.

• Assist CMS in efforts to minimize fraud, waste, and abuse in healthcare data.

• Work collaboratively as part of a 50-member team supporting the Trusted Third Party.

⛳️ Requirements

• Bachelor’s degree in healthcare, business administration, criminal justice, or a related field, or equivalent professional experience in lieu of a degree.

• Over 5 years of experience in customer service and/or customer liaison roles.

• At least 5 years of experience in healthcare investigations.

• Excellent oral and written communication skills with the capability to present to management-level personnel.

• Advanced proficiency in Microsoft Office suite.

• Familiarity with HIPAA privacy and security regulations.

• Knowledge and skills related to healthcare claims and investigations.

• Strong decision-making, organizational, and leadership skills.

• Dedication to confidentiality, privacy, and professionalism.

• Ability to independently resolve issues.

• Capability to manage multiple priorities and work effectively under pressure.

• Proficiency in handling complex projects with general oversight and minimal guidance.

• Ability to cultivate effective relationships and demonstrate strong interpersonal skills.

• Outstanding customer service abilities.

• Capacity to meet objectives both independently and within team settings.

• U.S. citizenship is not a requirement.

• Work visa sponsorship will not be provided.

🏝️ Benefits

• AI-driven career tool that identifies career progression and learning opportunities.

• Internal mobility team dedicated to supporting career aspirations.

• Comprehensive medical plan options, including plans with Health Savings Accounts.

• Options for dental coverage.

• Vision care plan options.

• 401(k) plan with company matching contributions.

• Flexible work weeks wherever feasible.

• Paid vacation, sick leave, personal time, holidays, parental leave, military leave, bereavement leave, and jury duty leave.

• Typically 15 days of paid leave annually for new employees.

• 10 paid holidays each year.

• Up to 160 hours of paid family leave within a rolling 12-month period for eligible employees.

• Short-term and long-term disability benefits.

• Life insurance coverage.

• Accidental death and dismemberment insurance.

• Personal accident insurance.

• Critical illness coverage.

• Business travel and accident insurance.

• Competitive salary.

• Recognized culture of innovation and a military-friendly workplace.