Job Title: Sr. Project Manager/Lead (Full-Time)
Post Date: 5/26/2023 – 06/30/2023

Position Summary
Aridell Associates, LLC, a professional consulting firm, advises clients on healthcare program operations and helps clients develop solutions to maximize meaningful outcomes, improve their operations, and protect their valuable assets, as well as bestow customer confidence in their operations.  Our mission is to advance clients’ operational performance and provide sustainable long-term, successful business strategies.

If you are interested in providing consulting and advisory services or supporting contracts, then this project management level position is for you.  The Sr. Project Manager/Lead works as an integral member of a multi-disciplinary team in conducting program vulnerability activities in support of a contract. In this position, you will support the primary project manager in managing and leading program vulnerability projects, such as conducting research, identifying vulnerabilities, scoring risks, and reporting results. The Sr. Project Manager/Lead will receive all direction and instructions from a program manager or their designee for the work activities under the contract. 

Responsibilities

  • Under minimal supervision, interact with the client's various partners and stakeholders to discuss and address program fraud, waste, and abuse schemes; trends, patterns, and anomalies; and opportunities for improvement.
  • Contributes to improving operations and work flow efficiencies.
  • Responds to partners' and stakeholders' needs for information and clarification.
  • Uses positive interpersonal skills in conducting all work.
  • Develops and delivers presentations.
  • Prepares standard and ad hoc deliverables for clients.
  • Lead teams responsible for identifying, triaging, and prioritizing existing and emerging vulnerabilities in healthcare programs.
  • Provide guidance and support for vulnerability mitigation, and evaluate the success and impact of the mitigation strategies and completed actions in order to close vulnerabilities.
  • Promote the use of environmental scanning techniques to identify vulnerabilities.
  • Develop and prepare written risk assessments on different client programs and areas using standardized criteria.
  • Oversee the preparation of reports, including the findings and associated recommendations for submission to the client’s management.
  • Interact and confer with team members on a variety of topics, such as ideas, projects, approaches, methodologies, and strategies, using all forms of available communications.
  • Interpret complex healthcare and value-based payment programs' policies, laws, rules, regulations, manuals, and healthcare industry guidelines in conducting program vulnerability activities.
  • Serve as a technical resource in complex healthcare operations, data, and systems.


Qualifications

  • ​The position requires a bachelor’s degree with preference given to those degrees in a business, public policy, or public administration relevant field. 
  • At least five years of experience required in Marketplace, Medicare, Medicaid, and CHIP programs with an expert level of understanding of the regulations in the programs along with direct supervision of staff.
  • Experience working for a health plan or an oversight/regulatory government agency is preferred.​

 
Skills

  • Ability to work under pressure and short deadlines.
  • Requires professional presentation skills.
  • Strong organizational planning and prioritization skills with the ability to collaborate with others and multi-task.
  • Excellent written and verbal communication skills.
  • Ability to present to large or small groups when required.
  • Proficient in using the Microsoft Office Professional Suite, including Word, Excel, PowerPoint, and Outlook.


Travel Requirements
No travel is required. 

Job Location
This is a work-from-home/remote position.

Apply Now
Email Resume To: jarias@aridell.com​​​

AUDITING

​Serving tHE Healthcare,

Financial, Insurance, and Public SectorS

Aridell Associates, LLC

Regulatory agencies emphasize the need to proactively audit an entity’s operation to maximize its performance efficiency and effectiveness and to identify fraud, waste, and abuse to mitigate risk.  Establishing a risk-driven audit function demonstrates to clients, partners, and stakeholders an organization’s commitment to quality assurance and control.  In the event a regulatory issue surfaces via an audit and it’s promptly communicated to oversight agencies, regulators tend to grant leniency to those organizations embracing and utilizing internal review and reporting mechanisms.


Regardless of a firm’s size, a weak or nonexistent audit function places an organization at a high level of financial and legal risk and decreases the degree of confidence and reliance clients can place on an entity’s operations.  As evidenced by press releases published by regulatory bodies, firms subject to adverse regulatory actions either had no audit function or a weak one.

Simply establishing or having an audit function does not translate to the elimination of risks or adverse events.  An entity’s commitment to its design, including the reporting structure, staff qualifications, risk assessments, audit planning, corrective action plans, and reporting, dictates the success and effectiveness of an audit function.  Regulators are often changing audit approaches, such as the introduction or expansion of desk audits and self-audits of healthcare claims.  As a consequence, firms need to promptly change and adapt or run the risk of losing business.
 
Aridell is a proven expert in conducting risk assessments and executing compliance, contract, financial, program integrity, and performance audits of commercial entities, government contractors and subcontractors, and government agencies.  Experts have experience in establishing or improving audit functions, including the development of audit protocols for Federal healthcare programs.  Aridell’s audit experience extends to conducting and managing audits for the Defense Contract Audit Agency, the Environmental Protection Agency Office of Inspector General, the Department of Veterans Affairs Office of Inspector General, the Department of Health and Human Services Office of Inspector General, and the Centers & Medicare and Medicaid Services. 

Audit expertise is not limited to non-litigation activities but also includes litigation activities.  As an example, experts are well-versed in post-litigation activities, such as the development, oversight, and audit of corporate integrity agreements.


Aridell’s capabilities include:

  • Audit Strategies

  • Developing Audit Protocols

  • Conducting Risk Assessments

  • Evaluating Audit Functions

  • Conducting Compliance, Contract, Financial, Program Integrity, and Performance Audits

  • Corporate Integrity Agreements

  • Regulatory Desk Audits and Self-Audits

  • Supporting Organizations Facing Regulatory Audits

  • Preparing Corrective Action Plans