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Dir, Program Operations

4 months ago

Shrewsbury Shropshire, United Kingdom University of Massachusetts Medical School Full time

Management
Shift: Day
Business Unit: ForHealth Consulting
ForHealth Consulting - Disability Services - W401800
Job Type: Full-Time
Union Code: Non Union Position -W60- Non Unit Professional
Your application to this req will add you to a pool of candidates for potential future openings. The ForHealth Consulting Disability Evaluations Services (DES) program provides disability and blindness determinations for South Carolina Health Connections Medicaid in accordance with Title XVI of the Social Security Act. DES utilizes clinical information recorded in medical records to determine: initial disability status for applicants, continuing disability status for recipients, reconsideration and appeals reviews. 
Reporting to the Senior Director, Disability Evaluation Services, the Director, Program Operations & Systems will be responsible for program management, oversight and systems support to the Senior Director. This position will oversee all system and operational functions for their respective Business Unit. Demands extensive collaboration with both leadership, external/internal clients and providers of database services.
Lead the assessment, planning, implementation, daily management, and strategic planning of programmatic operations, and programmatic operational services.
Provides reinforcement to the Senior Director in service delivery and integration for assigned unit and/or programs.
Manages and provides overall direction to operation and data analytics teams, which may consist of administrative associate directors, managers and supervisors for the development of project statements, work plans, report analyses, and contract deliverables.
Participate in contract activities across all programs, including facilitating execution of Inter-agency Service Agreements (ISAs), vendor and sub-contractor contracts, and contracts for services sold.
If applicable, manages database vendor management contracts, providing oversight to ensure Service Level Agreements are met.
Participate in business growth as deemed appropriate and support the development and implementation of strategic initiatives. Recommend and implement strategies that may positively impact organizational performance.
Lead and manage major corporate planning projects and assist in implementing strategic goals and objectives, working closely, continuously, and according to the parameters and timelines discussed and agreed on with Leadership Team.
Work with Senior Directors of assigned business unit to establish and maintain strong relationships with clients and customers, as needed.
initiate changes as needed to ensure the business unit functions as solution-oriented and valued resources.
Work with shared infrastructure divisions within UMass Chan Medical School (UMass Chan) to ensure they are involved in supporting programs and do so consistently with the overall goals and objectives of UMass Chan/ForHealth Consulting.
Directs and ensures the accurate and timely completion of comprehensive management ad hoc and enrollment reporting for contractual and internal use.
In collaboration with the Leadership Team, work to ensure compliance with the contract staffing matrices; provide supportive data for justification of variances to the matrix staffing plan.
Establish and implement departmental programmatic policies and procedures, conferring with senior leadership, clients, and staff members as necessary.
Oversee program contract compliance measures and systems, specifically as they related to Interagency Service Agreement (ISA) or other executed contract deliverables.
Oversee data management activities including departmental metrics and reporting for the purpose of monitoring productivity and goal achievement and to determine areas needing program improvement.
Provide leadership and management for data security and privacy issues, including HIPAA, and working collaboratively with Office of Compliance and Review and/or Program/Unit Compliance Liaisons to ensure compliance with enterprise standards.
Bachelor's Level Degree or equivalent in Business, health, or science administration, planning or equivalent experience.
REQUIRED WORK EXPERIENCE
7-9 years of experience in health care administration or a related field, with a broad understanding of and experience in the changing and interrelated functions of health care delivery, education or research.
REQUIRED WORK EXPERIENCE
Demonstrated performance in strategic and financial planning and analysis
Ability to travel to off-site locations. Master's Level Degree or equivalent in Business, Health, or Science Administration, planning or equivalent experience.
PREFERRED WORK EXPERIENCE
8-10 years Healthcare operations experience and working knowledge of long-term services and supports, and Medicaid operations strongly preferred.
UMass Chan Medical School was among 23 companies that stood out as 2023 “DEI champions,” according to The Boston Globe.
News & World Report
“2023 BEST MEDICAL GRAD SCHOOL”