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Senior Manager Revenue Operations

2 months ago

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

Overview

GENERAL SUMMARY OF POSITION:

 

Under the general direction of the Director, the Senior Revenue Operations Manager is responsible and accountable for the revenue projections and collections within their assigned areas.   The manager is specifically responsible for contract management and oversight of the Benefit Coordination and Recoveries unit’s health insurance identifications and recoveries vendor.  In addition, s/he is responsible for daily operations management of the unit and staff.  This unit provides third party liability and coordination of benefits services to MassHealth, the Massachusetts Medicaid program, to ensure that MassHealth is the payor of last resort.

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

PPR produces over one billion in gross charges to liable payers and generates over $1 billion in net revenue to the Commonwealth.  PPR conducts various business services statewide for 10 health and human services agencies and more than 20 public facilities that include hospitals, mental health centers and clinics, intermediate care and skilled nursing facilities, and various community-based services.  Community-based services include Home and Community-based Waivers, Residential Rehabilitation Option and Targeted Case Management programs.  The Revenue Operations Specialist will work closely with PPR staff and collaborate with the staff of EOHHS health and human services agencies that may include the Department of Developmental Services, Department of Mental Health, the Department of Public Health, the Department of Youth Services, the Division of Health Care Finance and Policy, the Executive Office of Elder Affairs, the Massachusetts Commission for the Blind, the Massachusetts Commission for the Deaf and Hard of Hearing, the Massachusetts Rehabilitation Commission, the Office of Medicaid, and the Chelsea and Holyoke Soldiers’ Homes.

 

The Senior Manager will be assigned to the Department of Mental Health This position will have oversight of twenty staff who provide medical billing and accounts receivable services for 6 inpatient hospitals, 2 outpatient community mental health centers, and community services including Intensive Residential Treatment Programs and Targeted Case Management.  This is a hybrid posision with minial travel required for meetings.   

 

 

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