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The Federal Business Director directs operational teams providing administrative services to federal clients, including the Federal Bureau of Prisons, while overseeing client relationships and contracts. This role manages all federal network development, contracting, claims initiatives, and operational programs to ensure effective service delivery. The position collaborates closely with leadership to research, analyze, and develop new products and services, including presenting financial, trend, and performance analyses. The Federal Business Director oversees program implementation, establishes policies and procedures, and ensures timely communication of business risks and revenue forecasts. This role also represents the organization through senior-level presentations regarding key...
The Fund Control Specialist performs pre- and post-payment audits of external claims; ensures that the company rigorously manages claims for external services; ensures that claims are paid according to contracted rates, for approved services, and are otherwise appropriate and correct; reviews and responds to claims submitted on appeal.