Lead financial operations by overseeing accounting, reporting, budgeting, and cash flow management while ensuring compliance with regulations. Develop finance teams and collaborate with leadership on strategic financial decisions.

Location: Columbus United States Job Description: Job#: 3033743 Job Description: Sr Program Manager - Payments, API, Digital Platforms Location: Remote to start for Contract. Then 4 days onsite, 1 Remote once converted FTE. (Candidates must sit within our clients hiring foot print in a variety of cities in the following states - Ohio, Michigan, Minnesota, Indiana, Pennsylvania, Illinois, Texas, North Carolina, Colorado, West Virginia, Wisconsin Employment Type: 6+ months - Contract to Perm Role Overview The Senior Program Manager is responsible for end-to-end program management of a large-scale modernization program. This role leads integrated planning, execution governance, dependency management, and stakeholder communication across multiple workstreams including platform development, data services, payment origination, and commercialization. Key Responsibilities - Lead day-to-day program management across all program workstreams. - Build and maintain the integrated program plan, including milestones, dependencies, and releases. - Establish and manage program governance including status reporting, RAID tracking, and executive updates. - Coordinate across business, technology, operations, onboarding, and commercialization teams. - Identify, track, escalate, and help resolve risks, issues, and blockers. - Ensure milestone readiness across development, QA, UAT, and go-live phases. - Validate delivery status with business and technology leads and ensure accurate reporting. - Facilitate alignment across internal stakeholders and external partners. - Drive accountability, transparency, and execution discipline across the program. - Prepare executive-ready communications, including dashboards, status reports, and decision materials. - Perform other duties as assigned. Required Qualifications Education: A Bachelor's Degree is required. Experience: 7+ years of experience in program management, project management, or related delivery roles. This must include experience managing cross-functional initiatives with multiple stakeholders and experience with structured status reporting, milestone tracking, and communication to executive leadership. Qualifications - Master's Degree. - Experience in banking, payments, API programs, or digital platforms. - A strong understanding of commercial payments and related workflows. - Experience working with agile delivery teams and release planning. - Strong leadership and stakeholder management skills in a matrixed organization. - Excellent written and verbal communication skills. - Organizational skills and attention to detail. - Experience with program governance tools and artifacts such as integrated plans and RAID logs. - PMP, PgMP, Agile, or equivalent certification. (Preferred, not required) We are an equal opportunity employer and welcome applications from all qualified candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Apex uses a virtual recruiter as part of the application process. Click here for more details. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico. Everforth Apex uses a virtual recruiter as part of the application process. Click here for more details. Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Everforth Apex team member can provide. Employee Type: Contract Remote: Yes Location: Columbus, OH, US Job Type: Pay Range: $65 - $85 per hour Similar Jobs - Senior Program Manager - Sr. Product/ Program Manager - Senior Technical Program Manager - Sr. Project/Program Manager - Program Manager

Program Integrity Documentation Reviewer III (CPC, RHIT or RHIA required) locations Remote time type Full time job requisition id R12456 Job Summary: The Program Integrity Medical Coding Reviewer III generates comprehensive and concise in-depth reporting and analysis to track performance related to the Pre-Pay and Post-Paid Processes. Essential Functions: - Provide Provider Pre Pay production and progress reports and coordinate with management and team on recommendation for further actions and/or resolutions in order to increase team performance - Recommend process or procedure changes while building strong relationships with cross departmental teams such as Claims, Configuration, Health Partners, and IT on identified internal system gaps - Demonstrate leadership ability, including mentoring Program Integrity Claims Analysts to identify and perform oversight and monitoring of claims decisions based on documentation. - Identify knowledge gaps and provide training opportunities to team members - Coordinate the training of new and existing claims analyst staff to increase recognition of improper coding, documentation, and/or FWA - Identify and assist in correction of organizational workflow and process inefficiencies - Serve as the primary resource for provider pre-pay team - Use concepts and knowledge of CPT, ICD10, HCPCS, DRG, REV coding rules to analyze complex provider claims submissions - Research, comprehend and interpret various state specific Medicaid, federal Medicare, and ACA/Exchange laws, rules and guidelines - Maintain a working knowledge of all state and federal laws, rules, and billing guidelines for various provider specialty types along with documentation requirements - Responsible for making claim payments decisions on a wide variety of claims including highly complicated scenarios using medical coding guidelines and policies - Refer suspected Fraud, Waste, or Abuse to the SIU when identified in normal course of business - Responds to claim questions and concerns - Prepares claims for Medical Director review by completing required documentation and ensuring all pertinent medical information is attached as needed - Possess a general knowledge and understanding of CareSource claim payment edits - Ensure adherence to all company and departmental policies and standards for timeliness of review and release of claims - Build strong working relationships within all teams of Program Integrity - Work under limited supervision with considerable latitude for initiative and independent judgement - Perform any other job related instructions as requested Education and Experience: - Associate’s degree or equivalent years of relevant work experience is required - Minimum of five (5) years of medical billing and coding experience to include minimum of three (3) years of SIU/FWA medical billing and coding experience is required - Prior experience with claim pre-payment, medical claim and documentation auditing required - Medicaid/Medicare experience is required - Minimum of three (3) years of experience in Facets is preferred - Experience with reimbursement methodology (APC, DRG, OPPS) is required - Inpatient coding experience is preferred - Leadership experience is preferred Competencies, Knowledge and Skills: - Knowledge of diagnosis codes and CPT coding guidelines; medical terminology; anatomy and physiology; and Medicaid/Medicare reimbursement guidelines - Thorough understanding of medical claim configuration - Clinical or medical coding background with a firm understanding of claims payment - Proficient in Microsoft Office Suite - Firm understanding of basic medical billing process - Excellent written and verbal communication skills - Ability to work independently and within a team environment - Effective problem solving skills with attention to detail - Knowledge of Medicaid/Medicare and familiarity of healthcare industry - Effective listening and critical thinking skills - Ability to develop, prioritize and accomplish goals - Strong interpersonal skills and high level of professionalism Licensure and Certification: - Certified Medical Coder (CPC, RHIT or RHIA) is required at time of hire Working Conditions: - General office environment; may be required to sit or stand for extended periods of time Compensation Range: $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-SD1

• Establish and enforce the "Gold Standard" for project controls • Provide rigorous QA/QC over schedules, cost forecasting, and risk reporting • Identify skill gaps, provide training, and foster high-performance culture • Proactively identify delivery bottlenecks and architect recovery plans • Design and execute an escalation management strategy for risk mitigation • Lead the seamless integration of new procedures and PMO tools into the workflow • Constantly challenge the status quo to refine methodologies