BROADWAY VENTURES, LLC · 1 month ago
Clinical Program Manager – CMS Medical Review (RVC)
United States
Full-time
Remote
Senior Level
5+ years expBroadway Ventures is a transformative company that empowers government and private sector clients with expert program management and innovative consulting solutions. They are seeking an experienced Program Manager to oversee daily operations for the CMS Review and Validation Contractor (RVC) Program, ensuring compliance with CMS guidelines and leading cross-functional teams.
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Responsibilities
Serve as the contractor’s authorized representative on all daily operational matters
Maintain ongoing communication with the CMS RVC COR regarding contract performance, staffing, and deliverables
Oversee medical review activities and ensure compliance with CMS guidelines and FFS RAC Program requirements
Lead cross-functional teams and manage staff required to support RVC operations
Ensure accurate interpretation of Medicare coverage, documentation, and regulatory standards
Monitor project progress, performance measures, and quality assurance outputs
Prepare operational updates, reports, and data summaries for CMS and internal leadership
Ensure effective workflows, staffing coverage, and adherence to deadlines and contract terms
Provide clinical oversight and guidance across medical review tasks and methodologies
Qualification
Required
5+ years of Program Management experience overseeing large or complex healthcare projects
Experience in medical review, healthcare auditing, or clinical review operations
Extensive knowledge of the Medicare program, including CMS regulatory and operational requirements
Working knowledge of the CMS FFS RAC Program
Strong leadership abilities with experience managing multidisciplinary teams
Master's degree in Business, Healthcare Administration, Nursing, Management, or a related healthcare field from an accredited institution
Current, active U.S. Nursing License (RN); must be maintained throughout employment
Preferred
Excellent written and verbal communication skills
Strong analytical, organizational, and problem-solving abilities
Experience working with government contracts or federal healthcare programs
Ability to manage multiple projects and deadlines in a fast-paced environment
Benefits
Competitive compensation and benefits package.
Company
BROADWAY VENTURES, LLC
We deliver expert program management, cutting-edge IT, cybersecurity, and consulting solutions for government and commercial clients.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase