Broadwayventures13d ago

Program Director – WTC Health Program (COB & Recovery Program)

United StatesRemoteexecutive

OtherProject & Program ManagementProgram Director

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Quick Summary

Key Responsibilities

Insurance identification and verification Coordination of benefits (COB) Claims recovery (OHI & Workers’ Compensation) Payment integrity and fraud, waste,

Requirements Summary

Coordination of Benefits (COB) Claims recovery / payment integrity Federal healthcare program management Proven experience managing large,

Technical Tools

OtherProject & Program ManagementProgram Director

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation.

Responsibilities

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Oversee implementation and adherence to a robust quality assurance program

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Manage cross-functional teams supporting:

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Insurance identification and verification
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Coordination of benefits (COB)
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Claims recovery (OHI & Workers’ Compensation)
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Payment integrity and fraud, waste, and abuse (FWA) efforts

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Maintain effective communication channels with internal staff and external stakeholders, including government entities and program partners

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Drive performance monitoring, operational improvements, and cost containment strategies

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Ensure compliance with federal regulations, HIPAA requirements, and contractual obligations

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Foster and maintain strong business relationships with all program stakeholders

Requirements

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Minimum 10+ years of experience in:
- Coordination of Benefits (COB)
- Claims recovery / payment integrity
- Federal healthcare program management
Proven experience managing large, complex government contracts or programs
Strong knowledge of:
- Healthcare claims processing
- Insurance coordination (OHI, Workers’ Compensation)
- 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

Requirements

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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

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.

After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.

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. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).