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Director, Public Employee Retirement System

Employer
University of Massachusetts Medical School
Location
333 South St

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Job Details

Overview

Under the direction of the Executive Director, the Director Public Employee Retirement System manages and oversees the daily clinical and administrative operations of contractual activities, including formulating and implementing business strategies and operational plans for the designated product line. Leads and directs implementation and emerging program improvements, working closely and continuously with clients and stakeholders, within the parameters and direction established by contract requirements. This position is responsible for enhancing the internal organization processes and infrastructure of the department to allow continual growth and fulfillment of its mission; including monitoring and addressing current business issues while providing an environment conductive to creativity and professional development.

 

Manages and oversees team of clinical and operational staff who are assigned to provide disability review, recommendation, case management and rehabilitative services to a large, consolidated Ohio-based public employee retirement system. This position includes clinical oversight of clinicians responsible for determining eligibility for public employee retirement system members applying for disability, work capacity, and follow participants through the rehabilitative services program with the goal of returning to work. Ideally, the candidate possesses clinical case management and/or disability determination experience and strong leadership skills. This position is also responsible for ensuring compliance with all applicable state and federal laws and regulations and necessary procedures governing the assigned contract(s) work requirements.

Responsibilities
  • Facilitate leadership in the establishment of rigorous service goals and objectives, drive performance, results, standardization and efficiencies.
  • Spearhead the development, communication and implementation of effective operational strategies and processes that support the vision, mission, values, and infrastructure of the organization.
  • Advise executive leadership regarding all operational aspects of the business, determine performance objectives/metrics and define tools to measure progress and ensures consistent achievement of business objectives.
  • Provide supervision and daily guidance to staff ensuring that the service provided meets or exceeds clinical and procedural standards as outlined in the assigned contract(s).
  • Initiate and implement supporting organizational mechanisms and systems that ensures the delivery and integrity of contracted requirements, including ensuring consistent decision making and clinical competency across disability review and rehabilitative services activities.
  • Participate with the Executive Director in policy decisions affecting the operations of services at relevant levels of senior administrative decision making within the system. Lead efforts to implement operational changes, address critical program management issues, and respond to new business opportunities i based on recognized best practice and/or community standards.
  • Promote service authorization consistency through directing comprehensive reliable and accessible systems of data collection and analysis to assure data integrity and that regulatory requirements for public and private sector clients are met.
  • Oversee protocol, policy, and procedure development designed to enhance operations management and establish a structured system of public employee retirement system-focused activities and regular team meetings to ensure compliance.
  • Responsible for developing and maintaining strong working relationships with public employee retirement system client to provide programmatic support, coordinate activities, and ensure compliance with contractual business practices.
  • Ensure that clients are provided with the highest standard of products or services as documented by the degree of client satisfaction and internal responsiveness to client issues or concerns.
  • Provide effective and timely communication to the Executive Director and present information and updates to senior staff as required through formal presentations.
  • Foster team environment, and provide professional and clinical leadership to clinical and administrative program staff, as appropriate.
  • Direct and assist staff in identifying and addressing issues involving team process, clinical and operations workflow, practices and function, as well as monitoring staff scheduling and workload coverage.
  • Monitor the process and outcomes of clinical staff to ensure adherence to appropriate state and federal regulations, as well as all program policies and procedures.
  • Provide clinical guidance to staff related to all clinical contract requirements which are specific to the contract or work assigned (i.e., disability review, recommendation, case management and rehabilitative services).
  • Review, revise, implement and communicate policy, workflow, and organizational changes to staff.
  • Prepare and present reports per contractual requirements and as requested.
  • Oversee the review process, assignment of cases, and outcomes of evaluations.
  • Work closely with Program Management and Clinical Staff to ensure that clinical integrity is maintained in the assigned program. Coordinate and lead assigned multidisciplinary team meeting including case review as needed.
  • Conduct onboarding activities and performance evaluations of all assigned staff.
  • Interface with Human Resources Department on personnel related issues as needed, including recruitment, hiring and termination of staff.
  • Maintain the confidentiality of all business documents and correspondence.
  • Identify necessary resources to perform program work, monitors work progress including, data analysis and report development, and oversees its timely completion.
  • Participate in performance improvement initiatives and demonstrate the use of quality improvement in daily operations, including conducting regular quality reviews of clinical services authorized and competency assessments for clinical staff.
  • Support team members in providing clinical information and case details related to the appeal and grievance process.
  • Comply with established departmental policies, procedures and objectives.
  • Comply with all health and safety regulations and requirements.
  • Assist the Director in preparing annual goals and objectives for the program.
  • Act as Liaison between client agencies and assigned programs on clinical and case-related issues.
  • Act as Liaison between client agency operational units regarding issues impacting contract performance including member/participant matters.
  • Work closely with the Executive Director to explore new business initiatives for CWM. Other duties as needed in support of Disability and Community Based Solutions.
Qualifications

REQUIRED EDUCATION

RN licensed to practice in the Commonwealth of Massachusetts, Master's Level Degree in Certified Rehabilitation Counseling or master’s degree in Social Work and licensed to practice in the Commonwealth of Massachusetts or equivalent.

 

REQUIRED WORK EXPERIENCE7 – 9 years related experience in disability review and recommendations and/or rehabilitative services with a minimum of 2 years recent management/supervisory experienceAbility to work in and foster a team environmentExcellent written and oral communication skillsAble to travel statewide PREFERRED EDUCATIONMaster's Level Degree in Certified Rehabilitation Counseling, Master’s Degree in Nursing or Master’s Degree in Business Administration.PREFERRED WORK EXPERIENCEStrong customer service skills and experience managing large contractsStrong analytical and problem solving skillsDemonstrated experience with eligibility determinations for the disabled, individuals with serious mental illness, home care, rehab or long term care populations strongly preferredProficient in Microsoft Office programs including Word and Excel

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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