Program Director – WTC Health Program (COB & Recovery Program)

Broadway Ventures

10d•Remote

About The Position

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation. Program Director – WTC Health Program (COB & Recovery Program) Position Summary The Program Director serves as the primary leadership and management point of contact for a large-scale federal healthcare program focused on cost avoidance, coordination of benefits (COB), and claims recovery. This role is responsible for overseeing contract performance, ensuring operational excellence, and maintaining strong relationships with federal stakeholders and program partners.

Requirements

Minimum 10+ years of experience in: Coordination of Benefits (COB) Claims recovery / payment integrity Federal healthcare program management
Proven experience managing large, complex government contracts or programs
Strong knowledge of: Healthcare claims processing Insurance coordination (OHI, Workers’ Compensation) Payment integrity and recovery operations
Demonstrated leadership experience managing cross-functional teams and stakeholders
Experience ensuring contract compliance, reporting accuracy, and SLA performance
Excellent communication and stakeholder management skills

Nice To Haves

Experience working with federal health programs (e.g., CMS, CDC, or similar)
Familiarity with data analytics, fraud detection platforms, and recovery systems
Experience in healthcare cost containment and program integrity initiatives

Responsibilities

Serve as the primary liaison between the organization and the WTC Health Program, including communication with Program Management, Contracting Officer (CO), and Contracting Officer Representative (COR)
Provide end-to-end oversight of contract operations, ensuring all deliverables meet quality, timeliness, and compliance standards
Lead execution of a comprehensive cost avoidance, COB, and recovery program across pre- and post-payment processes
Ensure accurate and timely submission of reports, deliverables, and ad hoc requests
Oversee implementation and adherence to a robust quality assurance program
Manage cross-functional teams supporting: Insurance identification and verification Coordination of benefits (COB) Claims recovery (OHI & Workers’ Compensation) Payment integrity and fraud, waste, and abuse (FWA) efforts
Maintain effective communication channels with internal staff and external stakeholders, including government entities and program partners
Drive performance monitoring, operational improvements, and cost containment strategies
Ensure compliance with federal regulations, HIPAA requirements, and contractual obligations
Foster and maintain strong business relationships with all program stakeholders