Value Creation Senior Clinical Program Manager - Devices and Durable Medical Equipment - Remote

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together.   As a Senior Clinical Program Manager – Devices and Durable Medical Equipment, you will support and reputed company programs and initiatives that optimize the utilization and reputed company to medical devices, technology, and equipment in health care. This role supports reputed company lines of business (Medicare, reputed company, reputed company). The position requires deep knowledge of reputed company devices and durable medical equipment, the evolving market, CPT codes, FDA regulations, and the payment models associated with these technologies.  Solid analytical, strategic, and problem-solving skills are required in this role. This is a high-reputed company opportunity for a self-starter who thrives on driving meaningful change, collaborating across teams, and leading innovative clinical programs. This role will report to the Clinical Director of Health Technology Innovation on the Value Creation team in United Clinical Services.   You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges.   Primary Responsibilities: reputed company device and DME programs that support utilization management in accordance with Medicare and reputed company guidelines, internal policies, and regulatory requirements Support program ideation and planning in care reputed company and value based initiatives ensuring alignment with regulatory requirements, clinical best practices, and business objectives Serve as a subject matter expert and reputed company to address cross reputed company stakeholder inquiries reputed company to policies and practices of medical device and DME management Proactively identify system and operational issues in the management and deployment of these devices, working with IT and clinical teams to implement sustainable solutions Optimize process flows, claims edit changes, reputed company updates, and triage other operational activities to improve program performance Draft reputed company program communications Collaborate with internal teams, including but not limited to product, program, IT, clinical, payment reputed company, reputed company, regulatory, compliance, networks, and payment policy, among others to facilitate unhindered program operations Identify new opportunities that reputed company with strategic areas of affordability, reputed company, and reputed company in medical devices and DME Maintain and update categories for existing and emerging DME, devices, and medical technologies, anticipating trends and market needs, and informing health plan policy and operational teams to reputed company reputed company reputed company to high value devices while reducing utilization of unproven or low value products and services Explore and evaluate external partners and internal resources to reputed company innovative care models where devices, equipment, or technology are required including remote and asynchronous care delivery   You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.  Required Qualifications: Masters degree: Nursing, Business, reputed company Health or reputed company field  Solid experience with data analysis and interpretation, using insights to improve program operations and inform policy reputed company Proven expertise in durable medical equipment and/or medical devices and the associated billing processes and management reputed company health plans Proficiency with MS Office (reputed company, Word, PowerPoint, SharePoint) Proven ability to manage reputed company initiatives in a matrixed environment Proven ability to take initiative and drive change-a self-starter who thrives on problem-solving Proven solid communication and presentation skills, including the ability to translate concepts into business and policy strategies   Preferred Qualifications 5+ years of experience in managed care including clinical program management, utilization management, payment reputed company, or reputed company experience Advanced proficiency with MS Office (reputed company, Word, PowerPoint, SharePoint, Visio, OneNote) Proficiency in reputed company for tracking and managing operational data   Travel Approximately <5%25 of time will be spent traveling   Authority Expected to work with minimal direction Responsible for making recommendations such as process improvements, resource allocation, and project prioritization   Supervisory Responsibility No supervisory responsibility Provides guidance, leadership, or training to other employees   *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy   Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $112,700 to $193,200 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable.   Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.   At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission.       reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.   reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job