Senior Partner Relations Liaison (CMS Healthcare Fraud Prevention)
New
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JobgetherHealthcare Fraud Prevention
Based in United StatesFull-TimeSenior
Salary96,569 - 130,651 USD per year
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Job Details
- Experience
- At least 5 years of experience
- Required Skills
- Microsoft OfficeCustomer serviceStakeholder managementHIPAA
Requirements
- Bachelor’s degree in healthcare, business administration, criminal justice, or a related field, or equivalent relevant professional experience in lieu of a degree.
- At least 5 years of experience in customer service, partner relations, customer liaison, or a comparable stakeholder-facing role.
- At least 5 years of experience supporting healthcare investigations.
- Strong understanding of healthcare environments and claims-related or fraud-prevention processes.
- Working knowledge of HIPAA privacy and security requirements.
- Expert-level proficiency with Microsoft Office applications.
- Excellent verbal and written communication skills, including the ability to communicate with and present information to management-level audiences.
- Strong decision-making, leadership, organizational, and problem-solving abilities.
- Demonstrated ability to build effective professional relationships and provide exceptional customer service.
- High level of professionalism and a strong commitment to confidentiality, privacy, and responsible handling of sensitive information.
- Strong attention to detail and the ability to prioritize multiple assignments while working under pressure.
- Ability to work independently, take initiative, and follow complex issues through to resolution.
Responsibilities
- Establish and maintain regular, consistent communication with an assigned portfolio of healthcare fraud prevention partners.
- Serve as a trusted point of contact, building strong and productive relationships with partner organizations.
- Ensure partners understand available program benefits, resources, services, and opportunities for engagement.
- Capture, organize, and communicate partner feedback to program leadership and relevant stakeholders.
- Engage partners in discussions around healthcare fraud analytics and related program activities.
- Support partner onboarding, including assistance with data-sharing agreements and the submission of data to centralized healthcare data environments.
- Help partners navigate onboarding requirements and resolve issues that may affect participation or data-sharing activities.
- Support healthcare fraud prevention events, meetings, outreach activities, and other program initiatives.
- Maintain confidentiality and handle sensitive healthcare and partner information in accordance with applicable privacy and security requirements.
- Present information and program updates clearly to management-level stakeholders.
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