University Of Massachusetts Medical School Shrewsbury , MA 01545
Posted 2 months ago
Overview
The 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 inception to implementation as relates to coordination of benefits & recovery. The position will oversee the operations and financial performance of Coordination of Benefits (COB) Claims and Retroactive Medicare Recovery Project business units. The role will manage multiple concurrent cost saving projects, conducting research and analyses for assigned projects. The Senior Manager will utilize analytic consulting skills with a customer service focus to design and deliver quality products/services that meet or exceed client expectations. The successful candidate will have an extensive medical claims billing and processing background as well as proven experience with leading teams in dynamic operation settings.
Responsibilities
Qualifications
REQUIRED EDUCATIONBachelor's degree in Finance, Public or Health Care Administration, Business, or other related area.REQUIRED WORK EXPERIENCE7 - 9 years of experience in health and human services program management, fiscal management, finance, or public administration
Proven skills in financial management or operational management.Thorough knowledge of the federal and Massachusetts state regulations associated with TPL program activities.Thorough knowledge of cost savings and revenue sources for health and human service programs.Experience with contract development and management.Working knowledge of Microsoft Office applications and database management.Strong management and leadership skills.
Preferred Qualifications:
Proven leadership skills; ability to successfully lead cross-functional teams using various virtual collaboration tools.
Strong oral and written communication skills
Proven medical claims and billing experience.
Expertise in Health Insurance and Coordination of Benefits for Medicaid, Medicare and Commercial Payers and ability to apply knowledge to maximize cost savings initiatives for MassHealth.
Demonstrated knowledge of cost saving and revenue activities related to health care benefit programs and payment methodologies, such as Medicare, federal and state regulation for Title XIX Medicaid, and commercial health insurances.
Demonstrated experience preparing project status and dashboard reports, cost savings and revenue tracking reports, project invoices, and other ad hoc reports
Adept at developing reports/dashboards, summarizing utilization and cost trends for internal and external stakeholders; and developing appropriate data visualization for reports
Working knowledge of claims processing systems and code sets (CPT-4, HCPCS and ICD-9 / ICD10); HIPAA transactions; EDI transactions, and XML
Demonstrated experience/skills with Data Warehouse concepts and Cognos
Highly proficient in Microsoft Office suite (Word/Excel/Access/PowerPoint).
Experience with Microsoft SharePoint or other project management tools
Additional Information
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University Of Massachusetts Medical School