Program Manager- (Administration) DES
- Employer
- University of Massachusetts Medical School
- Location
- 1 Technology Dr
View more categoriesView less categories
- Employment Type
- Full Time
- Institution Type
- Four-Year Institution
Job Details
GENERAL SUMMARY OF POSITION:
Under the general supervision of the Director or designee, DES Program Manager is responsible for planning and managing a large support unit whose functions involve providing clinical staff and medical professionals direct support of activities required to complete disability determination process for a number of client agencies in one or more states, as well as other new lines of business that DES may develop in the future. The incumbent is also responsible for ensuring compliance with DES guidelines and state and state and federal regulations governing the disability determination process and privacy of protected health information.
Responsibilities
MAJOR RESPONSIBILITIES:
- Manage the day to day administrative operations of the unit to ensure that staff provides clinicians with the required support to enable medical and psychological determinations to be conducted with complete data and in an efficient, cost effective, and timely manner.
- Develop and monitor guidelines for the effective support by staff of the activities of medical and psychology professionals in the disability review process.
- Manage DES programs related to unit functions and process. Provide input during the program initiation or renewal process.
- Provides administrative support for existing and new DES lines of business through sound management of unit processes.
- In collaboration with administrative managers, provide direction for the unit’s customer service operations through monitoring and measuring unit call volume, promoting positive customer service telephone skills, developing telephone coverage schedules, reviewing and revising client letters, and monitoring staff customer service performance.
- Analyze and evaluate existing administrative systems, identify opportunities for systems improvements and increased efficiencies, and implement these improvements in coordination with all impacted units.
- Collaborate with DES Senior Management to provide administrative analysis of clinical support and administrative resources required to pursue new business opportunities and to establish clinical support and administrative procedures for new business programs brought into productions.
- Develop and monitor guidelines for determinations that do not require clinical decisions.
- Foster and environment of continuous quality improvement and staff participation in quality improvement workgroups both within the unit and in collaboration with other DES units.
- Promote the privacy of protected health information within the unit through knowledge of HIPAA and other privacy and data security laws, staff education, and training. Coordinate data security issues and training with the DES Compliance Liaison and the ForHealth Consulting Office of Compliance and Review.
- Oversee and provide human resource support in the areas of unit staffing, recruitment, counseling, compensation, and benefits. Insure all personal action activity related to hiring, firing, performance measurement, contracting, and funding is completed.
- May serve as liaison with external organizations and other departments.
- Adhere to University, State, and funding agency regulations.
- Perform related duties as needed and as assigned.
- Perform Quality Assurance reviews on administrative staff and report findings and trends to the Associate Director of Clinical Operations or designee.
- Communicate and implement policy, workflow and organizational changes to all direct reports.
REQUIRED QUALIFICATIONS:
- RN - Registered Professional Nurse, with current unrestricted license with six years of relevant experience, or equivalent clinical licensure and experience.
OR
Masters prepared licensed or certified vocational rehabilitation counselor or other licensed or certified Allied Health professional with 3 years of relevant experience in the medical and/or Psychological fields including two years of specific medical training
Additional InformationPREFERRED QUALIFICATIONS:
- Supervisory experience in oversight of staff and processes, including staff providing support to the clinical function of physicians and psychologists, as well as office management or other administrative positions with specific knowledge of customer service, computer report preparation, and quality improvement.
- Experience in process improvement or other quality improvement activities.
- Demonstrated communication skills, both oral and written necessary to interact with clients, Agency partners, and staff.
- Demonstrated experience in using computer-based tools including electronic mail, word processing, data base management, spreadsheets and graphics.
- Understanding of state and federal laws and regulations related to disability or disability determination.
- Understanding of state and federal laws and regulations related to privacy and security of protected health information and data in a medical setting.
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
Get job alerts
Create a job alert and receive personalized job recommendations straight to your inbox.
Create alert