Partner Relations Liaison (CMS Healthcare Fraud Prevention)

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%.