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Clinical Program Manager – CMS Medical Review (RVC)

February 20, 2026

<div class="content-intro"><div class="et_pb_module et_pb_text et_pb_text_0 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"> <p style="text-align: justify;">At <strong>Broadway Ventures</strong>, 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.</p> </div> </div></div><p></p> <p data-start="307" data-end="419"><strong data-start="307" data-end="320">Location:</strong> Remote (U.S.)<br data-start="334" data-end="337"><strong data-start="337" data-end="350">Schedule:</strong> Monday–Friday, 8:00 AM–4:30 PM ET<br data-start="384" data-end="387"><strong data-start="387" data-end="407">Employment Type:</strong> Full-Time</p> <hr data-start="421" data-end="424"> <h2 data-start="426" data-end="450"><strong data-start="429" data-end="450">Position Overview</strong></h2> <p data-start="452" data-end="807">We are seeking an experienced <strong data-start="482" data-end="510">Program Manager</strong> to oversee daily operations for the CMS Review and Validation Contractor (RVC) Program. This role serves as the primary point of contact to the CMS RVC COR and is responsible for ensuring all contract, operational, and medical review requirements are executed in accordance with CMS guidelines.</p> <p data-start="809" data-end="986">The ideal candidate brings a strong clinical background (RN), extensive Medicare program knowledge, and proven leadership experience managing large, complex healthcare projects.</p> <hr data-start="988" data-end="991"> <h2 data-start="993" data-end="1020"><strong data-start="996" data-end="1020">Key Responsibilities</strong></h2> <ul data-start="1022" data-end="1888"> <li data-start="1022" data-end="1111"> <p data-start="1024" data-end="1111">Serve as the contractor’s authorized representative on all daily operational matters.</p> </li> <li data-start="1112" data-end="1227"> <p data-start="1114" data-end="1227">Maintain ongoing communication with the CMS RVC COR regarding contract performance, staffing, and deliverables.</p> </li> <li data-start="1228" data-end="1341"> <p data-start="1230" data-end="1341">Oversee medical review activities and ensure compliance with CMS guidelines and FFS RAC Program requirements.</p> </li> <li data-start="1342" data-end="1426"> <p data-start="1344" data-end="1426">Lead cross-functional teams and manage staff required to support RVC operations.</p> </li> <li data-start="1427" data-end="1524"> <p data-start="1429" data-end="1524">Ensure accurate interpretation of Medicare coverage, documentation, and regulatory standards.</p> </li> <li data-start="1525" data-end="1607"> <p data-start="1527" data-end="1607">Monitor project progress, performance measures, and quality assurance outputs.</p> </li> <li data-start="1608" data-end="1701"> <p data-start="1610" data-end="1701">Prepare operational updates, reports, and data summaries for CMS and internal leadership.</p> </li> <li data-start="1702" data-end="1799"> <p data-start="1704" data-end="1799">Ensure effective workflows, staffing coverage, and adherence to deadlines and contract terms.</p> </li> <li data-start="1800" data-end="1888"> <p data-start="1802" data-end="1888">Provide clinical oversight and guidance across medical review tasks and methodologies.</p> </li> </ul> <hr data-start="1890" data-end="1893"> <h2 data-start="1895" data-end="1925"><strong data-start="1898" data-end="1925">Required Qualifications</strong></h2> <ul data-start="1927" data-end="2359"> <li data-start="1927" data-end="2025"> <p data-start="1929" data-end="2025"><strong data-start="1929" data-end="1974">5+ years of Program Management experience</strong> overseeing large or complex healthcare projects.</p> </li> <li data-start="2026" data-end="2115"> <p data-start="2028" data-end="2115">Experience in <strong data-start="2042" data-end="2060">medical review</strong>, healthcare auditing, or clinical review operations.</p> </li> <li data-start="2116" data-end="2223"> <p data-start="2118" data-end="2223"><strong data-start="2118" data-end="2165">Extensive knowledge of the Medicare program</strong>, including CMS regulatory and operational requirements.</p> </li> <li data-start="2224" data-end="2277"> <p data-start="2226" data-end="2277">Working knowledge of the <strong data-start="2251" data-end="2274">CMS FFS RAC Program</strong>.</p> </li> <li data-start="2278" data-end="2359"> <p data-start="2280" data-end="2359">Strong leadership abilities with experience managing multidisciplinary teams.</p> </li> </ul> <hr data-start="2361" data-end="2364"> <h2 data-start="2366" data-end="2394"><strong data-start="2369" data-end="2394">Education & Licensure</strong></h2> <ul data-start="2396" data-end="2633"> <li data-start="2396" data-end="2542"> <p data-start="2398" data-end="2542">Master’s degree in <strong data-start="2417" data-end="2477">Business, Healthcare Administration, Nursing, Management</strong>, or a related healthcare field from an accredited institution.</p> </li> <li data-start="2543" data-end="2633"> <p data-start="2545" data-end="2633"><strong data-start="2545" data-end="2590">Current, active U.S. Nursing License (RN)</strong>; must be maintained throughout employment.</p> </li> </ul> <hr data-start="2635" data-end="2638"> <h2 data-start="2640" data-end="2663"><strong data-start="2643" data-end="2663">Preferred Skills</strong></h2> <ul data-start="2665" data-end="2953"> <li data-start="2665" data-end="2719"> <p data-start="2667" data-end="2719">Excellent written and verbal communication skills.</p> </li> <li data-start="2720" data-end="2789"> <p data-start="2722" data-end="2789">Strong analytical, organizational, and problem-solving abilities.</p> </li> <li data-start="2790" data-end="2870"> <p data-start="2792" data-end="2870">Experience working with government contracts or federal healthcare programs.</p> </li> <li data-start="2871" data-end="2953"> <p data-start="2873" data-end="2953">Ability to manage multiple projects and deadlines in a fast-paced environment.</p> </li> </ul> <hr data-start="2955" data-end="2958"> <h2 data-start="2960" data-end="2978"><strong data-start="2963" data-end="2978">Why Join Us</strong></h2> <ul data-start="2980" data-end="3222"> <li data-start="2980" data-end="3078"> <p data-start="2982" data-end="3078">Opportunity to lead mission-critical work that supports the integrity of the Medicare program.</p> </li> <li data-start="3079" data-end="3171"> <p data-start="3081" data-end="3171">Collaborative team environment with impactful clinical and operational responsibilities.</p> </li> <li data-start="3172" data-end="3222"> <p data-start="3174" data-end="3222">Competitive compensation and benefits package.</p> </li> </ul> <hr data-start="3224" data-end="3227"> <h2 data-start="3229" data-end="3248"><strong data-start="3232" data-end="3248">How to Apply</strong></h2> <p data-start="3250" data-end="3363">Submit your resume detailing your program management experience, clinical background, and Medicare/CMS expertise.</p> <p></p><div class="content-conclusion"><p><strong>What to Expect Next:</strong></p> <p>After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hires' employment. In addition, some positions may also require fingerprinting.</p> <p>Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.</p></div>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...