Remote Supervisor - CMS Healthcare Program Lead
Full-time
Kforce's client is looking for a Remote Supervisor - CMS Program Coordination. Duties:
- Lead, manage, mentor, and develop operational teams, including hiring, onboarding, coaching, performance management, and accountability
- Establish productivity standards, quality expectations, team metrics, and operational processes while conducting regular 1:1s, team meetings, and performance reviews
- Oversee day-to-day operational compliance, regulatory adherence, and program execution to ensure alignment with organizational and industry requirements
- Monitor evolving regulations, policies, and program requirements and translate them into scalable workflows, procedures, training, and operational best practices
- Manage reporting systems, operational platforms, and compliance portals to ensure accurate documentation, reporting, and data integrity
- Track and report on operational performance metrics, quality measures, benchmarks, and key performance indicators (KPIs)
- Partner with cross-functional teams including engagement, revenue cycle, analytics, product, engineering, and leadership to optimize workflows, reporting, and operational outcomes
- Ensure documentation, coding, billing, and reimbursement processes align with program and regulatory requirements
- Conduct audits of records, processes, and documentation to ensure compliance, quality, and timely completion of required activities
- Oversee care plan and service delivery processes, ensuring documentation is accurate, person-centered, and maintained according to established timelines
- Monitor operational milestones, assessments, submissions, reporting requirements, and stakeholder handoffs to ensure efficient program execution
- Provide structured feedback and coaching based on audit findings, while driving targeted process improvements and team development initiatives
- Identify compliance risks, operational challenges, and process gaps, leading corrective actions and continuous improvement efforts
- Bachelor's degree in Nursing, Social Work, Healthcare Administration, Public Health, Business Administration, or a related field preferred
- 5+ years of experience in healthcare operations, care coordination, case management, population health, or related operational leadership environments
- 2+ years of leadership experience with demonstrated success coaching, developing, and managing high-performing teams
- Strong knowledge of regulatory compliance, quality measures, operational standards, and healthcare payment or value-based care models
- Experience translating complex regulations and requirements into operational workflows, training programs, SOPs, and scalable processes
- Proven experience auditing documentation, operational processes, or clinical records to ensure quality and compliance
- Strong analytical skills with the ability to leverage data, metrics, dashboards, and KPIs to drive decision-making and operational improvements
- Experience working within fast-paced, technology-enabled environments utilizing EHRs, operational platforms, reporting tools, and compliance systems
- Demonstrated ability to adapt to evolving processes, priorities, regulations, and business needs
- Familiarity with revenue cycle management, documentation, coding, billing, and reimbursement processes is preferred
- Strong communication, collaboration, and stakeholder management skills with the ability to work effectively across clinical, operational, technology, and leadership teams
- Agile, solutions-oriented leader who thrives in ambiguity, builds structure, and drives results in a rapidly scaling organization
- Experience supporting patient, caregiver, healthcare, or population health initiatives is preferred
Vacancy posted 8 days ago
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