Client Liaison IV

Modivcare • Denver, CO

1d

About The Position

Modivcare is seeking an experienced Client Liaison IV to manage client relationships and address concerns related to fraud, waste, and abuse (FWA). This role involves implementing strategies to prevent and mitigate FWA issues. Modivcare aims to transform healthcare by connecting people with care, especially the underserved, by facilitating non-emergency medical transportation and personal and home care to enable greater access to care, reduce costs, and improve outcomes.

Requirements

• Bachelor’s Degree in Criminal Justice, Healthcare Administration, or a related field required
• Seven (7) plus years of experience in Account Management, Payor Relations, or FWA management, preferably in the healthcare or transportation industry
• Ability to work independently and as part of a team
• High level of integrity and ethical conduct
• Excellent written and verbal communication skills to effectively communicate with internal and external stakeholders
• Strong presentation skills
• Strong organizational and time management skills
• Strong analytical and problem-solving skills with attention to detail and numbers
• Ability to adapt to change, prioritize work, and remain self-motivated
• Strong work ethic
• Proficiency with Microsoft Office products including Excel, Access, Word, Windows, Project, and Outlook

Nice To Haves

• Demonstrated experience with law enforcement collaboration, payor relations, and relationship management preferred

Responsibilities

• Manages and maintains strong client relationships, serving as the primary point of contact for fraud, waste, and abuse concerns
• Conducts thorough investigations into allegations of fraud, waste, and abuse, gathering and analyzing evidence
• Develops and implements strategies to prevent and mitigate fraud, waste, and abuse within the organization
• Collaborates with cross-functional teams, including legal, compliance, and operations, to ensure adherence to relevant laws and regulations
• Prepares detailed reports on investigation findings and recommendations for corrective actions
• Provides training and education to clients and internal teams on fraud, waste, and abuse prevention
• Stays up to date with industry trends and best practices in fraud, waste, and abuse management
• Attends ad hoc, weekly, monthly, and quarterly meetings with broker clients
• Responds to Requests for Information (RFIs) and Requests for Proposal (RFPs) for state or broker client partners
• Owns all deliverables for SIU broker client relationships, including standing and ad hoc requests
• Creates and delivers presentations to current and prospective broker clients regarding SIU best practices
• Acts as a centralized point of contact for broker client concerns related to fraud, waste, and abuse
• May lead projects and perform other duties as assigned
• Occasional business travel may be required

Benefits

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

What This Job Offers

• Job Type: Full-time
• Career Level: Senior