Description

Please note: This role is contingent upon a contract award. While it is not an immediate opening, we are actively conducting interviews and extending offers in anticipation of the award.  

 

Jurisdiction Program Director Position (onsite, Midwestern Region) 

ICF is currently seeking a Jurisdiction Program Director to oversee contract requirements and overall operations within the Midwestern Region for a federal health agency. Under this program, ICF will investigate potential fraud, waste, and abuse in Medicare and Medicaid programs. The Program Director will fulfill its contract requirements to protect the integrity of these healthcare programs by coordinating activities to ensure appropriate staffing, effective communication with internal and external stakeholders, and compliance with contract requirements including quality, cost control, timeliness, and business relations. The Program Director will also ensure the implementation of a robust quality assurance program and maintain superior business relations with CMS, Law Enforcement, MACs, and other stakeholders. 
 

The successful candidate should have extensive experience in healthcare, Medicare, Medicaid, or related private insurance fields, with a strong background in managing complex systems and workflows. The candidate must demonstrate effective leadership, communication, and organizational skills, and be capable of managing high-level stakeholder relationships and contract deliverables. 
 

Job Location- Preference given to Midwest-based candidates. Remote role with up to 50% travel, mainly to Baltimore, MD and the Midwest (Midwestern Region includes Minnesota, Wisconsin, Illinois, Indiana, Michigan, Ohio, Kentucky, Iowa, Missouri, Nebraska, and Kansas.) 
 

Key Responsibilities: 

Oversight of contract requirements and jurisdictional operations. 

Lead, manage, and support a team.

Ensure appropriate staffing and resource allocation. 

Maintain effective communication with internal staff and external stakeholders. 

Ensure compliance with contract requirements including quality, cost control, and timeliness. 

Implement and maintain a quality assurance program. 

Submit timely and accurate monthly cost reports and corrective action plans as needed. 

Ensure timely and quality submission of deliverables and ad hoc requests. 

Maintain superior business relations with CMS, Law Enforcement, MACs, and other partners. 

 

Basic Qualifications: 

Bachelor’s degree with 20 years of professional experience OR Master’s degree from an accredited institution with 15 years of professional years 

At least eight years in healthcare, Medicare, Medicaid, or related private insurance field. 

Minimum of seven years in a progressive management capacity with responsibility for managing complex systems and workflows. 

US Citizenship is required by the federal government for this position  

Must be able to obtain Public Trust clearance. 

 

Preferred Qualifications: 

Intensive experience conducting and overseeing healthcare fraud investigations for healthcare payers and/or law enforcement.  

Customer familiarity with the CMS Center for Program Integrity (CPI) 

Expertise in the Medicare program and the CMS/CPI’s fraud, waste, and abuse workflow 

Credentials such as: Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AFHI), or similar. 

Proficiency in MS Office Applications (Word, PowerPoint, Outlook, Excel, Project) and MS SharePoint. 

 

Professional Skills: 

Strong leadership and organizational skills. 

Excellent verbal and written communication skills. 

Proven ability to manage complex projects and meet deadlines. 

Ability to foster positive relationships with stakeholders and team members. 

Working at ICF

ICF is a global advisory and technology services provider, but we’re not your typical consultants. We combine unmatched expertise with cutting-edge technology to help clients solve their most complex challenges, navigate change, and shape the future.

We can only solve the world's toughest challenges by building a workplace that allows everyone to thrive. We are an equal opportunity employer. Together, our employees are empowered to share their expertise and collaborate with others to achieve personal and professional goals. For more information, please read our EEO policy.

We will consider for employment qualified applicants with arrest and conviction records.

 

Reasonable Accommodations are available, including, but not limited to, for disabled veterans, individuals with disabilities, and individuals with sincerely held religious beliefs, in all phases of the application and employment process. To request an accommodation, please email Candidateaccommodation@icf.com and we will be happy to assist. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.  

Read more about workplace discrimination rights or our benefit offerings which are included in the Transparency in (Benefits) Coverage Act. 

 

Candidate AI Usage Policy

At ICF, we are committed to ensuring a fair interview process for all candidates based on their own skills and knowledge. As part of this commitment, the use of artificial intelligence (AI) tools to generate or assist with responses during interviews (whether in-person or virtual) is not permitted. This policy is in place to maintain the integrity and authenticity of the interview process.  

However, we understand that some candidates may require accommodation that involves the use of AI. If such an accommodation is needed, candidates are instructed to contact us in advance at candidateaccommodation@icf.com. We are dedicated to providing the necessary support to ensure that all candidates have an equal opportunity to succeed.  

 

Pay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position.

The pay range for this position based on full-time employment is:

$118,730.00 - $295,514.00

Maryland Remote Office (MD99)