This job has expired

Manager, Medicare Operations - Associate III (Remote)

University of Massachusetts Medical School
529 Main Street

View more

Administrative Jobs
Institutional & Business Affairs, Program Administration
Employment Type
Full Time
Institution Type
Four-Year Institution
You need to sign in or create an account to save a job.

Job Details



Under the general direction of the Senior Associate or designee, the Manager, Medicaid Operations - Associate III will assist in the development, management, coordination and implementation of Benefit Coordination Consulting activities, including Third Party Liability, Social Security, Medicare, and Medicare Buy-In benefit related cost savings and revenue initiatives for products and projects; both in and out of state.  The Associate III will manage project activities, teams, and clients, and oversee all aspects of specific cost savings and revenue initiatives from concept through execution and completion.





  • Assist in the development, management, coordination and implementation of revenue initiatives, in and out of state.
  • Lead in the analysis and evaluation of data to support projects in and out of state.
  • Lead in the research & development of new business opportunities.
  • Manage assigned projects from start to finish. 
  • Develop work plans; plan resource requirements.
  • Participate in the development of agreements between public entities and the University.
  • Assist in the evaluation and respond to grant and business proposals by providing reporting and data analysis.
  • Develop and present success, merits of initiative to staff and clients.
  • Research and develops work plans to implement projects.
  • Coordinate with subcontractors to obtain databases for various revenue initiatives.
  • Lead in the development of project budget projections and actual comparisons. 
  • Support Senior Associate with forecasting and product/product pricing.
  • Assist with preparing internal budgets.
  • Participate in training staff (in and out of state) in types of reimbursable initiatives.
  • Prepare federal claims for reimbursement.
  • Communicate with clients about status of their projects. Respond to client needs and requests promptly.
  • Oversee the preparation of all assigned internal and external reports.  Reviews all reports for completeness, accuracy, and timeliness. Decides the need for new or revised reports. 
  • Provide training to other staff on specific subject matter.
  • Participate in the Continuous Quality Improvement program.
  • Perform other duties as required.




  • Master’s degree in a business related field, or equivalent experience.              
  • 5-7 years experience in a related field.
  • Demonstrated experience in interpreting State and Federal regulations as they apply to public assistance programs.
  • Project management skills and experience in implementing and project management of large projects.
  • Demonstrated ability to work numerous projects simultaneously and meet deadlines.
  • Knowledge in general accounting principles and budgeting.
  • Experience in supervision and/or demonstrate ability to manage and motivate staff.
  • Expertise in computer based tools, including spreadsheets, database management, and word processing.
  • Ability to travel to off-site locations


  • Experience with and knowledge of Third-Party Liability cost savings and revenue activities as related to Medicaid, Medicare, Medicare Buy-In, and other health and human service programs
  • Demonstrated knowledge of Medicare and Medicare Buy-In eligibility and enrollment activities
  • Demonstrated experience working directly with the Social Security Administration on eligibility and policy matters or experience with Social Security disability eligibility rules and application processes
  • Highly proficient in Microsoft Office suite (Word/Excel/Access/PowerPoint)
  • Experience working with state and/or federal agencies, preferably health and human services organizations
  • Strong oral/written communication, and presentation skills
  • Strong quantitative and analytical skills
  • Exceptional organizational skills


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.                 


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!


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 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

You need to sign in or create an account to save a job.

Get job alerts

Create a job alert and receive personalized job recommendations straight to your inbox.

Create alert