Position Description

Serco is seeking a motivated Medical Records Manager for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team in supporting CMS’ implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children’s Health Insurance Program (CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA).

As part of this effort, Serco would execute the PERM review contract which includes collection of state eligibility policies and medical records; medical reviews, data processing reviews, and eligibility reviews of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; and supporting state and national reporting and development of corrective actions based on findings. The Medical Records Manager position would be responsible for the management, oversight and direction on medical records documentation protocol necessary for timely completion of the PERM program.

The candidate in this position ideally brings combination of program management experience and subject matter expertise in medical records management for review of the Medicaid and Children’s Health Insurance Program. The position is responsible for the business and system processes to ensure the full and complete scanning and uploading of all medical records to optimize medical review operations to ensure timely and quality deliver of PERM program.

Hybrid or full-time remote work. This is position is contingent on contract award.

In this role, you will:

• Be in direct communication with the Assistant Program Director for Medical Claims Review in managing medical records collection and review
• Provide technical assistance to the CMS PERM staff
• Provide oversight and direction with the documentation protocol necessary for timely completion of the PERM program.
• Ensure the full and complete scanning and uploading of all medical records received to begin the medical review of claims.
• Identify improvements to streamline and automate documentation processing to enhance program efficiency and coordination.

Competencies

• Thorough understanding of project/program management techniques and methods
• Demonstrated knowledge of documentation collection, formatting, storage and access protocols – including requesting, scanning, uploading, classifying and organizing all medical records received in preparation for medial review of claims.
• An analytical mindset with problem-solving abilities.
• Strong leadership and organizational skills.
• Excellent communication skills, both strong orally and written skills.
• Exceptional interpersonal skills with ability to establish and maintain effective working relationships.
• Enjoy working in fast-paced and collaborative team environment.

Qualifications

The Medical Records Manager will possess a combination of experience meeting the following criteria:

• A minimum of three (3) years of supervisory/managerial experience related to file and record management;
• A minimum of five (5) years general related experience, which includes experience with electronic medical records and the electronic transmission of medical records;
• Certification as a Registered Health Information Administrator or similar designation;
• Preferably knowledge and working experience with the Medicaid program; and
• Associate’s Degree, Bachelor’s Degree, or Master’s Degree from an accredited institution and in a field of study that can be reasonably interpreted to perform tasks related to this position.

If you are interested in supporting our mission and working with a passionate team - then submit your application now for immediate consideration. It only takes a few minutes and could change your career!

Company Overview

Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco’s 9,000 employees strive to make an impact every day across 100 sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters.

To review Serco benefits please visit: https://www.serco.com/na/careers/benefits-of-choosing-serco. If you require an accommodation with the application process please email: careers@serco-na.com or call the HR Service Desk at 800-628-6458, option 1. Please note, due to EEOC/OFCCP compliance, Serco is unable to accept resumes by email.

Candidates may be asked to present proof of identify during the selection process. If requested, this will require presentation of a government-issued I.D. (with photo) with name and address that match the information entered on the application. Serco will not take possession of or retain/store the information provided as proof of identity. For more information on how Serco uses your information, please see our Applicant Privacy Policy and Notice.

Serco does not accept unsolicited resumes through or from search firms or staffing agencies without being a contracted approved vendor. All unsolicited resumes will be considered the property of Serco and will not be obligated to pay a placement or contract fee. If you are interested in becoming an approved vendor at Serco, please email Agencies@serco-na.com.

Serco is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.