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Category: Administrative Professional
Location: Shrewsbury, MA
Shift: Day
Exempt/Non-Exempt: Exempt
Business Unit: ForHealth Consulting
Department: ForHealth Consulting - MEEP Medicare Eligibility Enhancement - W407612
Job Type: Full-Time
Salary Grade: 46
Num. Openings: 1
Post Date: Sept. 17, 2023
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.
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
The Project Development Associate will implement and manage new initiatives that relate to coordination of Veteran benefits for Medicaid members. The Associate will develop procedures and documentation for project activities, manage reporting and invoicing, lead meetings with state Medicaid and Veteran agencies, and facilitate Veteran benefits enrollment for Medicaid members. In addition, this position will also lead the research and development of new projects relating to Medicare and Social Security benefits, and Medicare premium payments.
About Health Care Finance Solutions and Medicare Eligibility Enhancement Programs Team
Health Care Finance Solutions (HCFS) is a part of ForHealth Consulting, the health care consulting division of UMass Medical School, Massachusetts only public medical school. As nationwide leaders in the development and implementation of health care reform, ForHealth Consulting and HCFS stay ahead of health care trends and help strategize and plan for changes that impact both health care delivery systems and patients on the local, state and national level. HCFS helps state agencies 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. At the same time, we identify opportunities for our clients to increase health care related services, reduce the net cost of delivery and help ensure individuals receive the health and human service benefits to which they may be entitled. The Medicare Eligibility Enhancement Programs (MEEP) Team at HCFS works with state Medicaid programs to identify and coordinate federal and state benefits for program recipients, helping ensure that individuals receive all benefits to which they are entitled. The MEEP team develops and implements benefit coordination initiatives which achieve cost savings and revenue opportunities for Medicaid agencies by ensuring federal benefits are appropriately identified and coordinated for state program recipients. The team focuses on identifying and coordinating eligibility for Social Security, Medicare, Medicare Savings Program, and Veteran benefits for state Medicaid recipients.
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