Deputy Program Manager

Who We Are

Lawelawe is a Native Hawaiian Owned Small Disadvantaged Business (NHO SDB) that specializes in providing a range of services to federal government clients, including program management, digital solutions, human capital and training, and medical staffing. Lawelawe leverages our NHO status to secure federal contracts that not only drive business success but also support our overall mission to uplift economically disadvantaged Native Hawaiian families and preserve the Native Hawaiian heritage.

An experienced operational leader who can supervise personnel, coordinate competing priorities, and maintain accurate, timely performance in a sensitive healthcare-claims environment. You are organized, dependable, and comfortable managing workloads, resolving operational issues, mentoring employees, and communicating with Government stakeholders. You can support the Program Manager in daily operations and assume responsibility for contract performance when serving as the designated alternate.

You will support the Defense Health Agency Office of General Counsel Claims Division and its Medical Affir­mative Claims and Third-Party Collection programs. As Deputy Program Manager, you will assist with workforce supervision, workload distribution, hybrid scheduling, quality control, reporting, and operational coordination.

You will serve as the designated alternate Program Manager and oversee daily contract operations during the Program Manager's absence. Your leadership will help maintain continuity of service and support the Government's recovery of healthcare costs from liable third parties and third-party insurers.

• Serve as the designated alternate Program Manager and assume responsibility for daily contract operations during the Program Manager's absence.
• Assist the Program Manager with direct supervision, employee performance monitoring, staffing, attendance, leave coordination, and workforce development.
• Coordinate with the Government's Contracting Officer's Representative on performance, staffing, scheduling, and reporting matters as delegated or when acting as alternate Program Manager.
• Distribute and balance claims workloads based on case complexity, employee capacity, program priorities, and deadlines.
• Monitor shared organizational email inboxes and physical mail for incoming claims, correspondence, and inquiries.
• Process new referrals and establish Medical Affir­mative Claims and Third-Party Collection case files.
• Enter claims and case information into ACMP and other required government systems.
• Maintain accurate electronic case files, tracking logs, correspondence, and supporting documentation.
• Research and collect authorized patient, beneficiary, treatment, billing, insurance, eligibility, and case-related information.
• Access medical, administrative, eligibility, and financial systems to obtain records, treatment timelines, billing statements, patient demographics, and related information.
• Verify patient and claim information and identify missing, inaccurate, or inconsistent data.
• Gather and organize medical records, accident reports, insurance information, billing data, and supporting documents for review.
• Properly name, index, upload, and maintain documents in SharePoint and government case-management systems.
• Record Third-Party Collection denial codes and payer responses.
• Complete standardized appeal templates and assemble appeal packages for higher-level review.
• Research potentially liable parties, insurance carriers, civilian attorneys, and other relevant entities.
• Prepare notices of claim using government-approved templates.
• Draft standard demand letters, settlement memoranda, and other routine correspondence for review and signature by…