Jobgether

Jobgether

·yesterday

Partner relations liaison (cms healthcare fraud prevention)

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Location

remote, United States

Salary

$64k – $86k/yr

Commitment

Full Time

Level

Junior (<2 years)

Required skills

Partner RelationsCustomer ServiceHealthcare InvestigationsHealthcare ClaimsHealth Insurance ProcessesFraud PreventionHIPAA Privacy and SecurityData SharingData OnboardingMicrosoft OfficeWritten and Verbal CommunicationStakeholder ManagementProblem-SolvingDecision-MakingOrganizationConfidentiality

Job Description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Partner Relations Liaison (CMS Healthcare Fraud Prevention) based in the United States.

The Partner Relations Liaison will manage relationships between healthcare organizations participating in a national partnership focused on preventing fraud, waste, and abuse in healthcare. Working as part of a dedicated program team, you will serve as a key point of contact for assigned partners, helping them make full use of available membership benefits and resources. You will support partner onboarding, facilitate data-sharing activities, and help ensure information is accurately integrated into a centralized data warehouse. The role also involves gathering feedback, strengthening collaboration, and supporting program events and initiatives. This is an opportunity to contribute to meaningful healthcare integrity efforts while building trusted relationships across a diverse network of stakeholders.

Accountabilities

  • Establish and maintain regular, consistent communication with assigned Healthcare Fraud Prevention Partnership (HFPP) members and partner organizations.
  • Build strong relationships with partners, ensuring they understand and take full advantage of available membership benefits, services, and program resources.
  • Gather partner feedback, identify concerns and opportunities for improvement, and communicate relevant insights to program and partnership leadership.
  • Support day-to-day partner onboarding activities, including completion of data-sharing agreements and coordination of data submissions.
  • Assist partners with onboarding their data into the Trusted Third Party (TTP) Data Warehouse, helping facilitate accurate and efficient data-sharing processes.
  • Respond to partner questions, follow up on issues, and independently coordinate solutions when challenges arise.
  • Support the planning and delivery of partnership events, including activities involving both HFPP members and non-member organizations.
  • Maintain professional standards when handling sensitive information, ensuring confidentiality and compliance with applicable privacy requirements.
  • Coordinate with internal teams and stakeholders to support program objectives and deliver a consistent partner experience.

Requirements:

  • Bachelor's degree in a healthcare-related field, Business Administration, Criminal Justice, or a related discipline; equivalent professional experience may be considered in place of a degree.
  • At least 2 years of experience in customer service, partner relations, or customer liaison roles.
  • At least 2 years of experience in healthcare investigations.
  • Strong understanding of healthcare claims, health insurance processes, and fraud prevention concepts.
  • Working knowledge of HIPAA privacy and security rules.
  • Expert-level proficiency with Microsoft Office applications.
  • Excellent written and verbal communication skills, including the ability to present information to management-level stakeholders.
  • Strong decision-making, organizational, and problem-solving abilities, with demonstrated leadership qualities.
  • Commitment to confidentiality, privacy, and professional conduct when working with sensitive healthcare information.
  • Ability to manage multiple priorities, meet deadlines, and remain detail-oriented in a fast-paced environment.
  • Capacity to work independently with minimal guidance while also contributing effectively to a collaborative team.
  • Strong interpersonal skills and the ability to establish productive relationships with stakeholders at all levels.
  • High initiative, sound judgment, and exceptional customer service skills.

Benefits:

  • Salary range: $64,230–$86,250 annually. Final compensation will depend on experience, geographic location, and applicable contractual requirements.
  • Comprehensive medical plan options, including plans with Health Savings Accounts (HSAs).
  • Dental and vision coverage.
  • 401(k) retirement plan with company matching.
  • Flexible work arrangements and full flex work weeks where available.
  • Paid time off, including vacation, sick, and personal leave. New employees typically receive 15 days of paid leave per calendar year, prorated based on hire date.
  • 10 paid holidays annually, prorated based on hire date.
  • Paid parental, military, bereavement, and jury duty leave.
  • Paid Family Leave of up to 160 hours within a rolling 12-month period for eligible employees.
  • Short- and long-term disability coverage, life insurance, and additional accident and critical illness protection options.
  • Wellness resources and comprehensive employee support programs.
  • Access to career development resources and internal mobility opportunities.
  • Fully remote work arrangement, available from any U.S. location.
  • Standard schedule of 40 hours per week.
  • Limited travel required, estimated at less than 10%.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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