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Sr. Project Lead - Medicaid Eligibility and Benefit Coordination
Job Number: 2024-45502
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: 47
Num. Openings: 1
Post Date: April 8, 2024

GENERAL SUMMARY OF POSITION:

Under the general direction of the Senior Associate or designee, the Associate III will assist in the development, management, coordination and implementation of revenue initiatives for products and projects; 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:

  • Assist in the development, management, coordination and implementation of revenue initiatives, in and out of state.
  • Lead in the analysis and evaluation of data to support projects in and out of state.
  • Lead in the research & development of new business opportunities.
  • Manage assigned projects from start to finish. 
  • Develop work plans; plan resource requirements.
  • Participate in the development of agreements between public entities and the University.
  • Assist in the evaluation and respond to grant and business proposals by providing reporting and data analysis.
  • Develop and present success, merits of initiative to staff and clients.
  • Research and develops work plans to implement projects.
  • Coordinate with subcontractors to obtain databases for various revenue initiatives.
  • Lead in the development of project budget projections and actual comparisons. 
  • Support Senior Associate with forecasting and product/product pricing.
  • Assist with preparing internal budgets.
  • Participate in training staff (in and out of state) in types of reimbursable initiatives.
  • Prepare federal claims for reimbursement.
  • Communicate with clients about status of their projects. Respond to client needs and requests promptly.
  • Oversee the preparation of all assigned internal and external reports.  Reviews all reports for completeness, accuracy, and timeliness. Decides the need for new or revised reports. 
  • Provide training to other staff on specific subject matter.
  • Participate in the Continuous Quality Improvement program.
  • Perform other duties as required.

REQUIRED QUALIFICATIONS:

  • Masters degree in a business related field, or equivalent experience.              
  • 5-7 years experience in a related field.
  • Demonstrated experience in interpreting State and Federal regulations as they apply to public assistance programs.
  • Project management skills and experience in implementing and project management of large projects.
  • Demonstrated ability to work numerous projects simultaneously and meet deadlines.
  • Knowledge in general accounting principles and budgeting.
  • Experience in supervision and/or demonstrate ability to manage and motivate staff.
  • Expertise in computer based tools, including spreadsheets, database management, and word processing.
  • Ability to travel to off-site locations

Work environment:  1 day per week in Quincy, MA., 4 days remote

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