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General Summary of Position:

Under the direction of the FCU Director or designee, the Audit Manager may perform, as well as oversee, financial audits. The Audit Manager will also be involved in various other financial activities related to auditing. This position will be integral in implementing all auditing policies, procedures, and contractual obligations. The Audit Manager will have a key role in the FCU audit activities.   

Commonwealth Medicine (CWM) is the consulting division of UMass Medical School.  The CWM Center for Health Care Financing (CHCF) helps state and local governments, primarily in Massachusetts, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. We identify opportunities for our clients to increase services and reduce the net cost of delivery.

The Financial Compliance Unit (FCU), within CHCF, performs financial audits and reviews of Nursing Facilities and Hospitals to ensure compliance with MassHealth provider, administrative, and billing regulations.  The FCU also performs various tasks related to billing, reporting and financial reviews of other state government programs.  FCU staff are primarily accountants, auditors and staff, highly skilled in Access and Excel.

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

Preferred Qualifications:

• Bachelor’s or master’s degree in accounting
• Exceptional knowledge of accounting principles and financial reporting
• Exceptional knowledge of MassHealth MMIS, eligibility and claims systems
• Knowledge of Coordination of Benefits and Third-Party Liability
• Experience in managing multiple staff, various staffing levels
• Extensive experience in managing reporting processes
• Proficient in MS Access, Excel and MSOffice
• Strong quantitative and analytical skills
• Exceptional oral and written communication skills
• Exceptional organizational skills
• Leadership skills required, as well as team oriented