Top Organizational Development Executive jobs in Maryland

Description

Position:     Lead Analyst, Policy & Disputes

Positions:   Available: 1

Position Type:   Contingent upon Contract Award

Work Location:   Rockville, MD 100% onsite

Clearance Level:  Public Trust

Make an Impact with ODRG!

For a contract solicitation with the National Practitioner Data Bank, we are looking for a SME with experience in records and information management, dispute review and resolution processes, and conducting analysis of findings. A contract like this is an essential component that assists federal and state licensing and certification authorities, hospitals, and other health care entities in evaluating the qualifications of health care practitioners they wish to license, hire, or contract with, or grant clinical privileges to. Through the collection and disclosure of information on civil judgments and criminal convictions related to health care, adverse licensure and certification actions, exclusions from health care programs, and other adjudicated actions taken against health care practitioners, providers, and suppliers, it will reduce health care fraud and abuse.

What You’ll Do: 

The SME / Lead Policy & Dispute Analyst will proactively work with Bureau of Health Workforce (BHW), Health Resources and Services Administration (HRSA) and other stakeholders to perform analytical task to facilitate dispute resolution by ensuring information is submitted in accordance with regulatory requirements, industry standards, and internal policies. This role requires a proactive approach to identifying and mitigating compliance risks while fostering a culture of ethics and integrity within the program. Besides strong writing skills, you will be adept at journalistic writing, have strong attention to detail, and be a self-starter. 

Responsibilities Include, but not limited to:

• Determines appropriate actions based on the analysis of data and the situation: Exercises judgment within defined procedures and policies.
• Conducts remote, telephonic assessment and reassessments of healthcare professional licensees to evaluate their status, overall compliance with program requirements, and progress.
• Conduct analysis of the record based on NPDB reporting statutes and regulations to determine reportability of the action, accuracy of the report, and eligibility of the reporting entity to submit the report.
• Compile, produce, review, and distribute reports in a timely manner that accurately depicts the actions taken and the basis for those actions in the written records of the reporting organization.
• Draft the case decision letters and participate in the internal review processes per Protocol.
• Coordinate submitting the final signed decision letters to all the parties and closing the case, including sending to the reporting entity a request for corrections or voids when applicable.

Requirements

• Bachelor's degree.
• 3 - 5 years of developing and overseeing policy compliance and dispute resolution programs.

What additional characteristics will help you thrive? 

• Ability to perform comfortably in a fast-paced and deadline-oriented work environment.
• Ability to work as a team member as well as independently.
• Excellent analytical, problem-solving, and decision-making skills.
• Familiarity with technology solutions for compliance management.

Compensation:

The pay range for this job is determined by various factors, including but not necessarily limited to location, responsibilities of the job, and alignment with market data. When determining a salary for this role, the following factors may be taken into consideration: contract-specific affordability, education, knowledge, skills, competencies, and experience. The estimate displayed represents the salary range for this position and is just one component of ODRG's total compensation package for employees. It is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any specific employee.  As of yet, no pay range has been established.

Security Clearance Requirements:

A government background investigation may be conducted on selected applicants to determine whether they qualify for access to classified information, namely, a Public Trust. If required, you must be a US citizen or permanent resident.
 

About Us

Organizational Development Resource Group (ODRG), LLC is a management consulting company that provides professional services to organizations within DoD, Federal, Commercial, and non - profit sectors. 

About the Team

ODRG professional consultants provide management consulting and administrative support services. We assist our customers with strategic direction, implementation, and evaluation efforts that optimize their workforce and ultimately enhance the effectiveness of the organization. Our consultants have designed and delivered value added solutions for government and private organizations that have resulted in organizational effectiveness; process efficiency, strengthen workforce, and cost savings. 

What you'll be part of - ODRG Culture

Our success at ODRG is measured by the impact we have on our clients. As a team of dedicated problem solvers, we pride ourselves on our ability to solve complex problems with government agencies and other organizations. The people who make up our organization care deeply about the missions we support. If you appreciate what we stand for, you'll appreciate the professionalism and dedication of those you stand beside every day.