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Associate Director, Program Implementation & Network Administration

Employer
University of Massachusetts Medical School
Location
333 South St

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Administrative Jobs
Institutional & Business Affairs, Program Administration, Technology, Analysts & Programming, Network & Systems Administration
Employment Type
Full Time
Institution Type
Four-Year Institution
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Job Details

Overview

POSITION SUMMARY:

 

Under the general direction of the Director, the Associate Director Program Implementation and Network Administration directs the creation and development of systematized operations and processes for the implementation of new and reconfigured programs within Disability and Community Services.  This position leads the implementation and on-going management of all provider network activities for home and community-based waiver and demonstration providers.  Responsibilities include providing direction in preparation and submission of business proposals and financial projections and analysis, creating standard and ad-hoc financial and management reports to support program planning and forecasting efforts, and working with other senior leadership in business development / expansion planning.

Responsibilities

ESSENTIAL FUNCTIONS:

  • Oversee critical business functions including: directing the development of comprehensive management, ad hoc and fiscal reporting, participation in the evaluation and development of business opportunities, managing the development and maintenance of new contracts and ISA’s, and producing budget reports and projections based on volume analysis and organizational needs.
  • Lead complex project teams focused on the implementation of new and reconfigured programs and statewide initiatives.
  • Manage logistics and deliverables for high profile statewide health care reform initiatives, in partnership with EOHHS team members.
  • Assess current business operating system levels, processes, and workflows; initiate change as needed to ensure the department functions as a solution-oriented and valued resource.
  • Identify, assess and focus solutions to address client needs and department challenges.
  • Oversee statewide marketing, outreach, technical assistance, and training sessions, representing Massachusetts Medicaid, and interfaces with the provider community.
  • Direct credentialing, re-credentialing, enrollment, dis-enrollment, and claiming functions for applicable providers.
  • Manage all related provider enrollment, including evaluating credentialing requirements in accordance with state and federal regulations and guidelines, and ensuring providers adhere to related quality assurance principles and contract requirements.
  • Establish and maintain positive provider and state agency relationships, as well as with key internal stakeholders.
  • Oversee ongoing relationships with state agency partners and providers; including serving as the primary contact for identifying and addressing issues and training needs, and ensuring problem resolution.
  • Serve as a liaison between the Executive Office of Health and Human Services, Massachusetts Rehabilitation Commission, and providers, to ensure that provider network requirements, policies, processes, are communicated in a timely, accurate and positive manner.
  • Lead internal and external support and response teams for the resolution of operational problems as they pertain to implementation of new programs and administration of provider network functions
  • Represent the department and MassHealth at applicable activities including stakeholder meetings, community sessions, system user groups and other health data system organizations.
  • Oversee policy and procedure development, including application material development and related provider and staff training needs
  • Participate with partnering state agencies in completing provider on-site reviews and verifications of physical plant compliance with all applicable requirements for providers that provide center-based or on-site services, and identifying sanctioned, suspended or terminated providers using information available through federal and other licensing boards or government agencies.
  • Assist / lead process improvement initiatives such as developing/enhancing client reporting processes and documents
  • Develop procedures to ensure quality, compliance, and accuracy
  • Participate in the development of departmental policies and procedures
  • Develop/strengthen procedures to ensure compliance with state and federal regulations
  • Develop and implement auditing and quality assurance procedures
  • Collaborate with division management/leaders in coordinating HR initiatives
  • Manage direct report staff including hiring, performance review, disciplinary action, and termination
  • Provide supervision, guidance and ongoing training for assigned support staff
  • Lead and participate in CQI activities within the program
  • Comply with all safety and infection control standards specific to the work site.
  • Perform other similar and related duties as required or as directed.

 

Qualifications

REQUIRED QUALIFICATIONS:

  • Bachelor’s degree in Business Administration or related field.
  • 7-10 years business and management experience.
  • Effective verbal and written communication skills necessary to interact with all levels of staff.
  • Travel to off-site locations required. 

 

PREFERRED QUALIFICATIONS:

  • Human service or healthcare experience
Additional Information

*LI-AT1

Organization

Realize Your Opportunities – A Career at UMASS Medical School

Inside Workings at UMASS Medical School

The University of Massachusetts Medical School (UMMS), the Commonwealth's only public medical school, is proud of our role in serving the people of Massachusetts. Although, its the inside workings of UMMS that makes the difference.

Mission and Culture

  • We’re serious about our mission and about our people. 
  • Real World Impact - Our people get excited about our mission of real-world impact in health sciences education, research and public service.
  • International Prominence and New Opportunities - As this institution has grown to national – and international – prominence, we’ve found new opportunities to train tomorrow’s physicians, nurses and scientists,  discover causes of and cures for disease and help improve the quality of health care.
  • Deep Commitment - With our clinical partner, UMass Memorial Health Care, and our other teaching affiliates, we share a deep commitment to national distinction in patient care.
  • Valued Partnerships – UMMS partners with Commonwealth Medicine, the health care consulting arm of UMMS. Also, UMMS partners with MassBiologics in scientific collaborations, technology management and creating partnerships for the development of products for the benefit of patients.  These valued partnerships help us to provide services and programs to help meet our needs at UMMS and the public.
  • Proud Contributors - People at UMMS enjoy the feeling of going to work every day knowing what they do is truly important and worthwhile.
  • Complementary and Inseparable - These varied parts of our mission and culture are complementary and inseparable.                 

Careers

UMMS, the state’s first and only public academic health sciences center, educates physicians, scientists and advanced practice nurses to heal, discover, teach and care, with compassion.  UMMS is a world-class institution with opportunities to match. 

Competitive Compensation – UMMS offers salaries that are competitive with Worcester-area employers. When combined with our generous benefits, perks, and paid time off, many job seekers are surprised to find a total rewards package that matches or exceeds their current situation.

Targeted Hiring Process – At UMMS, there are actually multiple hiring processes for different segments of our workforce.  In nearly all cases, UMMS hiring process is decentralized, with qualified candidates screened and referred to an academic officer or manager with hiring authority.

24/7 Access to Employment Opportunities – iCIMS is our online job search and application system.  iCIMS is available 24/7 to provide you with a convenient and up-to-date view of the available employment opportunities across our campuses. Updates are made daily and include all faculty and non-faculty position listings from every school and department within the UMMS. When you identify a position you are interested in and qualified for, apply online. New opportunities become available frequently so it pays to check back often!

Benefits

With outstanding benefits, competitive pay, extensive learning opportunities, and a stimulating and attractive work environment, UMMS may be exactly the employer you’ve been looking for.

• Superior Benefits - UMMS offers a wide range of benefits and perks that invite comparison with the best employers in the Worcester area – and with academic institutions anywhere. UMMS provides superior medical and dental coverage for you and your family, fully funded retirement plans, generous time off, a Tuition Assistance Plan – and much more.

• People Centered - UMMS is an employer, but it is also a community. Its comprehensive medical and dental benefits, retirement plans, and even paid holidays reflect an institution built around people, with a deep respect for their differences and needs.

• Commitment to Healthy Living - UMMS provides resources to help you balance work and life and encourages healthy living through great programs and discounts for fitness, physical activity, weight management, nutritional counseling and general wellness available through our health insurance plans.

• Breadth of Offerings - Above all, the breadth of UMMS offerings set the School apart and makes it an environment favored by all sorts of smart, career-savvy people.

Apply for a Job

As an equal opportunity and affirmative action employer, UMMS recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds.

Online - To view all job opportunities and apply online, visit www.umassmed.edu/hr and click on the “Careers” tab.

Start Now and Realize Your Opportunities!

A History of Making Vital Improvements - UMASS Medical School Milestones

1962: Legislation establishes University of Massachusetts Medical School
1970: First medical students begin classes in Shaw Building
1974: First class graduates 16 MDs
1979: PhD program begins
1986: Graduate School of Nursing opens
1986: PhD program becomes Graduate School of Biomedical Sciences
1994: Graduate School of Nursing initiates PhD program
1998: UMass Clinical System and Memorial Health Care merge to form UMass Memorial Health Care
2001: Lazare Research Building opens
2002: Campus Modernization begins on the University Campus
2004: Graduate Entry Pathway Program established at the Graduate School of Nursing
2005: PhD Program in Clinical & Population Health Research established at the Graduate School of Biomedical Sciences
2005: Massachusetts Biologic Laboratories opens new manufacturing and filling facility in Mattapan
2006: Craig Mello, PhD, Blais University Chair in Molecular Medicine and Howard Hughes Medical Institute Investigator, is awarded the Medical School's first Nobel Prize. Dr. Mello shared the 2006 Nobel Prize in Physiology or Medicine with Andrew Fire, PhD, of Stanford University, for their discoveries related to RNA interference.
2007: Michael F. Collins, MD, is named chancellor and Terence R. Flotte, MD, is named dean of the School of Medicine.  
2009: Groundbreaking for the Albert Sherman Center, a 500,000-square-foot research and education facility slated for completion in 2012.
2010: Ambulatory Care Center opens
2012: The Albert Sherman Center, a 500,000-square-foot research and education facility, completed and opens

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