Project Manager

7 days ago


Shrewsbury, Shropshire, United Kingdom University of Massachusetts Medical School Full time
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Project Lead - Medicaid Eligibility and Program Integrity (primarily remote)
Project Lead - Medicaid Eligibility and Program Integrity (primarily remote)

Job Number :

Category:
Administrative Professional

Location :
Shrewsbury, MA

Shift:
Day

Exempt/Non-Exempt:
Exempt

Business Unit:
ForHealth Consulting

Department:
ForHealth Consulting - Third Party Liability - W401920

Job Type:
Full-Time

Salary Grade: 46

Num

Openings :
1

Post Date :
Feb. 5, 2024

GENERAL SUMMARY OF POSITION:

Under the general direction of the Senior Associate or designee, the Associate II will assist in the development of contracts with state agencies; both in and out of state.

The ForHealth Consulting, Health Care Financing Solutions Eligibility and Benefit Coordination Team provides project management services and expertise in Medicaid eligibility policy, systems and programs.

The Team continues a long-term engagement as subject matter experts in the development and implementation of eligibility systems and policy.

This position will focus primarily on work supporting eligibility-related program integrity initiatives for Medicaid and health and human services programs.


MAJOR RESPONSIBILITIES:
Perform complex analysis in support of projects in and out of state
Perform research & development analysis relevant to revenue management/enhancement projects as assigned
Assist in the development of program expansion plans
Assist in the development of presentations and the preparation of marketing materials to clients
Support senior staff on site visits
Participate in the development of agreements between public entities and the University
Participate in Request for Information/Request for Proposal processes
Participate in project forecasting and work on assigned financial analysis projects.
Participate in presentations to staff regarding success, merits of initiative, etc.
Research, develop, and prepare work and implementation plans in support of project and initiatives. Complete assigned projects from start to finish
Assist in coordinating with subcontractors to obtain databases for various revenue initiatives
Participate in training staff and clients (in and out of state) in types of reimbursable initiatives
Provide technical support in the preparation of federal claims for reimbursement
Coordinate communications with clients about status of their projects
Prepare internal and external reports
Participate in the Continuous Quality Improvement program
Perform other duties as required.

REQUIRED QUALIFICATIONS:
Masters degree and 3 -5 years of experience in a business related field, or equivalent experience
Must have knowledge of State and Federal regulations as they apply to public assistance programs
Demonstrated experience in computer based tools including spreadsheets and word processing
Knowledge of accounting principles, budgeting, and computer reporting preparation
Demonstrated project management skills.
Ability to travel to off-site locations
Remote Home Office with occasional on-site in Boston or Shrewsbury.

UMass Chan Medical School was among 23 companies that stood out as 2023 "DEI champions," according to The Boston Globe.

Named a U.S. News & World Report
"2023 BEST MEDICAL GRAD SCHOOL"
for Primary Care and Research
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