Sr Manager, Revenue Operations

2 weeks ago

Shrewsbury, United States University of Massachusetts Medical School Full time
Job Description

Overview

GENERAL SUMMARY OF POSITION:

 

Under the general direction of the Program Director, the Senior Manager is responsible and accountable for all administrative and operational components of the unit, including the supervision of staff, management of day-to-day operations of unit, the development and implementation of policies and procedures related to claiming functions and associated internal controls, revenue projection and reporting and information systems/technology functions related to business needs. The Sr. Manager will oversee Medicaid Administrative claims processing services, Cost Report reconciliation and settlement services, Random Moment Time Study administration, and customer service help desk support services on behalf of contracted clients in multiple states.

Responsibilities

MAJOR RESPONSIBILITIES:

  • Evaluate and assist in implementing change to increase the efficiency of operations by reviewing reports and information from staffing
  • Direct and manage revenue program by monitoring the progress of revenues and analyzing the data and reports
  • Perform supervisory functions of hiring, corrective action and employee performance evaluation
  • Make recommendations for priorities and program implementations
  • Make recommendations for improvements to program operations
  • Closely monitor the revenue activities in the assigned unit to insure the regular status of the revenues and report on the potential risks for shortfalls or potential gains
  • Develop and implement policy and procedure standards in regards to program monitoring and evaluation
  • Oversee and monitor activities of assigned unit
  • Work on revenue management projects
  • Identify state programs that may be eligible to receive FFP from the Federal Government
  • Provide on the job training and orientation for employees
  • Develop and implement procedures and guidelines to accomplish project objectives and goals
  • Review and analyze data concerning assigned projects in order to determine progress and effectiveness and make recommendations for changes in procedures
  • Respond to inquiries from EOHHS staff and others concerning assigned projects
  • Perform related duties such as attending staff meetings, maintaining records and preparing reports
  • Interact and represent the department on a professional level with EOHHS and other government agencies
  • Work individually as well as being a team member
  • Work internally and externally to resolve discrepancies for projects
  • Perform other duties as assigned.
Qualifications

REQUIRED QUALIFICATIONS:

  • Bachelor’s degree in Finance, Public Administration or Business or equivalent
  • 7 years’ experience in fiscal management, finance or public administration
  • Proven skills in financial management or operational management
  • 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 and leadership skills.
Additional Information

Federal financial participation (FFP) is available through Title XIX and Title XXI of the Social Security Act to match expenditures by cities and towns, regional school districts and charter schools (collectively, Local Education Agencies (LEAs)) for the provision of medically necessary medical services provided to Medicaid-enrolled students.  Also eligible for FFP are the LEA costs associated with performing Medicaid administrative activities related to the delivery of services and with performing qualifying outreach activities.  Collectively, this program is referred to as the School-Based Medicaid Program (SBC).

 

The SBC unit at HCFS works closely with Massachusetts and other states to develop, implement, and manage various activities that support direct service or administrative activity claiming to the Medicaid program.  To that end, SBC develops, maintains, and supports solutions for states to compile, report and review eligible expenditures for Medicaid Administrative Claiming, Direct Service Cost Report Reconciliation and Settlement, Medicaid Eligibility Matching, Random Moment Time Studies or other equivalent allocation methods to support the identification of Medicaid related costs. With a deep knowledge of federal Medicaid regulations, SBC optimizes opportunities, while ensuring compliance with all applicable state and federal rules.   Today, SBC supports over 50,000 users in 10 states for school-based other social service agency Medicaid FFP claiming programs. 

 

The Sr. Manager for SBC will report to the Program Director.   The Sr. Manager will oversee Medicaid Administrative claims processing services, Cost Report reconciliation and settlement services, Random Moment Time Study administration, and customer service help desk support services on behalf of contracted clients in multiple states.

 

This position is largely remote but may require occasional onsite work at the Shrewsbury location or in-person attendance at a client meeting, including occasional out-of-state travel. 

 

#LI-AC1

  • Sr Manager, Revenue Operations

    1 month ago

    Shrewsbury, United States InsideHigherEd Full time

    OverviewGENERAL SUMMARY OF POSITION:  Under the general direction of the Program Director, the Senior Manager is responsible and accountable for all administrative and operational components of the unit, including the supervision of staff, management of day-to-day operations of unit, the development and implementation of policies and procedures related to...

  • Sr Manager, Revenue Operations

    2 weeks ago

    Shrewsbury, MA, United States University of Massachusetts Medical School Full time

    OverviewGENERAL SUMMARY OF POSITION: Under the general direction of the Program Director, the Senior Manager is responsible and accountable for all administrative and operational components of the unit, including the supervision of staff, management of day-to-day operations of unit, the development and implementation of policies and procedures related to...

  • Sr Manager, Revenue Operations

    2 weeks ago

    Shrewsbury, MA, United States University of Massachusetts Medical School Full time

    Job DescriptionOverviewGENERAL SUMMARY OF POSITION:  Under the general direction of the Program Director, the Senior Manager is responsible and accountable for all administrative and operational components of the unit, including the supervision of staff, management of day-to-day operations of unit, the development and implementation of policies and...

  • Senior Manager, Revenue Operations and Compliance

    1 hour ago

    Shrewsbury, Massachusetts, United States InsideHigherEd Full time

    About the RoleWe are seeking a highly experienced Senior Manager to lead our Revenue Operations and Compliance team at InsideHigherEd. This is a critical role that requires a strong understanding of financial management, revenue operations, and compliance.Key ResponsibilitiesEvaluate and implement changes to increase operational efficiency by reviewing...

  • Manager of Revenue and Business Development

    5 days ago

    Shrewsbury, Massachusetts, United States InsideHigherEd Full time

    About the RoleWe are seeking a highly skilled and experienced Senior Manager to join our team at InsideHigherEd. As a key member of our organization, you will be responsible for overseeing the administrative and operational components of our revenue operations, including supervising staff, managing day-to-day operations, and developing and implementing...

  • Director of Financial Management and Operations

    5 days ago

    Shrewsbury, Massachusetts, United States InsideHigherEd Full time

    About the RoleWe are seeking a highly skilled and experienced Senior Manager to join our team at InsideHigherEd. As a key member of our organization, you will be responsible for overseeing the administrative and operational components of our revenue operations, including financial management, policy development, and customer service.Key...

  • Operations Manager Trainee

    24 hours ago

    Shrewsbury, Massachusetts, United States PDS Health Full time

    About the RolePDS Health is seeking a highly motivated and organized Operations Manager Trainee to join our team. As an Operations Manager Trainee, you will play a critical role in supporting the day-to-day operations of our dental offices and will have the opportunity to develop your skills and knowledge in a fast-paced and dynamic environment.Key...

  • Revenue Cycle Specialist

    2 weeks ago

    Shrewsbury, New Jersey, United States J&S Stark Billing & Consulting, Inc. Full time

    Position OverviewWe are a dedicated team specializing in billing across various medical specialties, focusing on both private practices and hospital-affiliated physician services.The specialties we cover include, but are not limited to, Cardiology, Chemotherapy, Family Practice, Gastroenterology, Infectious Disease, Internal Medicine, Nephrology, Neurology,...

  • Culinary Operations Manager

    2 weeks ago

    Shrewsbury, Massachusetts, United States Bowlero Corporation Full time

    Position Overview:Compensation: $65,000 - $70,000 annuallyEnvision your perfect role. Now, imagine it infused with fun activities like bowling, arcade games, and celebrations every day. This is not just another job; it’s the start of an exciting career as a Culinary Operations Manager with Bowlero Corporation.As a Culinary Operations Manager, you will be a...

  • Maintenance Operations Manager

    4 days ago

    Shrewsbury, Massachusetts, United States Jones Street Residential Full time

    About the RoleThe Maintenance Supervisor is a key member of our team at Jones Street Residential, responsible for overseeing the maintenance operations of our residential apartment communities. This role requires a strong background in property maintenance management, with experience in managing service operations, vendor relations, and capital projects.Key...

  • Senior Manager of TPL Claims Programs- Hybrid

    3 months ago

    Shrewsbury, United States InsideHigherEd Full time

    OverviewThe Benefit Coordination and Recovery (BCR) team is seeking a Senior Manager who will oversee department operations, contract management, and revenue and recovery projects.  Under the general direction of the Deputy Director, or designee, the Senior Manager will lead the BCR teams project activities, supervising all aspects of projects from...

  • Maintenance Supervisor

    3 days ago

    Shrewsbury, Massachusetts, United States Jones Street Residential Full time

    Job SummaryWe are seeking a highly skilled Maintenance Supervisor to join our team at Jones Street Residential. As a key member of our property operations team, you will be responsible for managing the service operations of one residential apartment community.Key ResponsibilitiesLeadership and ManagementLead by example and demonstrate the company's core...

  • Sr. Facilities Specialist-Mechanic

    3 months ago

    Shrewsbury, United States InsideHigherEd Full time

    OverviewGENERAL SUMMARY OF POSITION: Under the general supervision of the Building Equipment & Maintenance Manager or designee, the Sr. Facilities Specialist-Mechanic is responsible for the repair, maintenance, troubleshooting, installation, monitoring and operation of all building systems and equipment. Maintains records, installs, repairs, modifies and...

  • Operations Manager

    4 days ago

    Shrewsbury, Massachusetts, United States At Home Stores LLC Full time

    Job SummaryThe Store Operations Manager is a key leadership role responsible for overseeing the day-to-day operations of an At Home store. This includes managing the store team, ensuring a positive customer experience, and driving sales growth.Key ResponsibilitiesTeam Management: Recruit, train, and develop a high-performing store team to meet business...

  • Operations Manager

    1 day ago

    Shrewsbury, Massachusetts, United States At Home Stores LLC Full time

    Job SummaryThe Store Operations Manager is a key leadership role responsible for overseeing the day-to-day operations of an At Home store. This includes managing the store team, ensuring a positive customer experience, and driving sales growth.Key ResponsibilitiesTeam Management: Recruit, train, and develop a high-performing store team to meet business...

  • Security Operations Manager

    5 days ago

    Shrewsbury, Massachusetts, United States Securitas Inc. Full time

    Job Description**Job Title:** Security Operations Manager**Job Summary:**We are seeking a highly skilled Security Operations Manager to join our team at Securitas Inc. As a Security Operations Manager, you will be responsible for overseeing the day-to-day security operations at a client site, ensuring compliance with all security protocols and procedures.Key...

  • Store Operations Manager

    7 days ago

    Shrewsbury, Massachusetts, United States Domino's Franchise Full time

    Store Operations Manager at Domino's FranchisePosition OverviewThe Store Operations Manager is accountable for the efficient management of daily operations within the store. This role includes ensuring compliance with company standards and fostering a positive environment for both staff and customers.Key ResponsibilitiesOversee daily shift operations and...

  • Site Operations Manager

    6 minutes ago

    Shrewsbury, Massachusetts, United States Securitas Inc. Full time

    Job Description**Job Title:** Site Operations Manager**Job Summary:** We are seeking a highly skilled Site Operations Manager to join our team at Securitas Inc. The successful candidate will be responsible for overseeing the day-to-day operations of our client site, ensuring compliance with security standards and protocols.Key Responsibilities:Supervise and...

  • Bakery Operations Manager

    4 days ago

    Shrewsbury, New Jersey, United States Nothing Bundt Cakes Full time

    Job Summary:We are seeking a highly motivated and experienced Assistant Bakery Manager to join our team at Nothing Bundt Cakes. As a key member of our bakery team, you will be responsible for ensuring the smooth operation of our bakery, maintaining high-quality products, and providing exceptional customer service.Key Responsibilities:Manage Bakery...

  • Culinary Operations Supervisor

    2 weeks ago

    Shrewsbury, Massachusetts, United States Bowlero Full time

    Position Overview:Compensation: $65,000 - $70,000 / yearEnvision your perfect role. Now, enhance it with engaging activities and vibrant celebrations every day. This is not just another workplace; it's the launchpad for a thrilling career as a Culinary Operations Supervisor with Bowlero Corp.Our Culinary Operations Supervisors are adept chefs who merge their...