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Program Director, HCFS - Third Party Liability (TPL) Specialty Programs

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Job Details

Overview

GENERAL SUMMARY OF POSITION

The Center for Health Care Financing provides consulting and operational services to state agencies and public municipalities within the Commonwealth of Massachusetts and nationally, currently serving 18 states.  Under the general direction of the Deputy Director of CHCF, the Program Director will manage certain revenue and cost savings programs and functions across state health and human service agencies.  Those functions will include directing and managing business operations that identify sources to offset health care costs by maximizing third party benefits and cost sharing opportunities, identifying liable payers, and billing, claiming, and recovering for the costs of health care services in a timely fashion.  In addition, the Program Director will lead the development and implementation of new business strategies and operations to meet internal and external client goals and develop and implement new projects and business opportunities.

Responsibilities

MAJOR RESPONSIBILITIES:

  • Direct and oversee business services, methods and strategies to meet and exceed cost savings and revenue targets for health and human service agencies
  • Lead strategic planning efforts including the development and implementation of departmental performance goals and objectives related to operational and financial management and improvement
  • Direct and lead program enhancement and expansion efforts including the identification of required resources, the implementation of teams; and the assessment of necessary skill sets and competencies to accomplish objectives
  • Manage organizational change
  • Provide direction and expertise in developing new revenue initiatives
  • Provide business and operational management consulting services to client agencies, Center for Health Care Financing and Commonwealth Medicine leadership staff
  • Develop and maintain effective relationships with internal and external entities to continuously improve the quality and delivery of business services and operations including developing resolutions to issues, incorporating regulatory changes, and exchanging data
  • Oversee, manage and prepare annual expense budgets
  • Direct the analysis of potential cost savings and revenue projects and business opportunities
  • Direct the development of client presentations, proposals, and procurement responses
  • Direct the development and management of contracts for services and Interagency Service Agreements
  • Attend federal/national conferences and monitor and assess changing federal/national industry indicators
  • Ensure compliance with state and federal rules and regulations
  • Provide monthly financial and operational reports to client agencies, Center for Health Care Financing and Commonwealth Medicine leadership staff
  • Establish departmental policies, procedures and objectives, communicate changes to department staff, client agencies, Center for Health Care Financing and Commonwealth Medicine staff
  • Recruit, interview, hire, train, and evaluate staff
  • Effectively work in a complex organizational and reporting environment
  • Preserve confidential information and files
  • Fulfill additional duties as required or requested
Qualifications

REQUIRED QUALIFICATIONS:

  • Master’s degree in Finance, Public Health, Human Services Administration, Business Management or equivalent.
  • 10-15 years of solid experience and proven skills in financial management or operational management in increasingly responsible management positions, preferably in finance, health and human services.
  • Thorough knowledge of funding and revenue sources for health and human service programs.
  • Thorough knowledge of the federal and Massachusetts state regulations associated with the federal entitlement and block grant programs.
  • Experience with contract development and management.
  • Strong management, leadership, team building, and customer service skills.
  • Superior oral and written communications skills, with strong public speaking ability.
Additional Information

ADDITIONAL INFORMATION

 

About the Center for Health Care Financing

 

The Center for Health Care Financing (CHCF) is a part of Commonwealth Medicine (CWM), the health care consulting division of UMass Medical School, Massachusetts’ only public medical school. As nationwide leaders in the development and implementation of health care reform, CWM and CHCF stay ahead of health care trends and help strategize and plan for changes that impact both health care delivery systems and patients on the local, state and national level.

 

Located in Shrewsbury and Charlestown, MA, CHCF helps state agencies identify opportunities to increase savings and reimbursements through federal and other third-party sources, establish effective savings and reimbursement programs, and capitalize on all possible revenue streams. At the same time, we identify opportunities for our clients to increase health care related services, reduce the net cost of delivery, and help ensure individuals receive the health and human service benefits to which they may be entitled.

 

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.

 

 

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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