Overview

GENERAL SUMMARY OF POSITION:

Under the general direction of the Director, the Senior Revenue Operations Manager is responsible and accountable for the revenue projections and collections within their assigned areas. The manager is specifically responsible for contract management and oversight of the Benefit Coordination and Recoveries unit's health insurance identifications and recoveries vendor. In addition, s/he is responsible for daily operations management of the unit and staff. This unit provides third party liability and coordination of benefits services to MassHealth, the Massachusetts Medicaid program, to ensure that MassHealth is the payor of last resort.

Responsibilities

MAJOR RESPONSIBILITIES:

Evaluate and assist in implementing change to increase the efficiency of operations by reviewing reports and information from staffing
Direct and manage revenue program by monitoring the progress of revenues and analyzing the data and reports
Perform supervisory functions of hiring, corrective action and employee performance evaluation
Make recommendations for priorities and program implementations
Make recommendations for improvements to program operations
Closely monitor the revenue activities in the assigned unit to insure the regular status of the revenues and report on the potential risks for shortfalls or potential gains
Develop and implement policy and procedure standards in regards to program monitoring and evaluation
Oversee and monitor activities of assigned unit
Work on revenue management projects
Identify state programs that may be eligible to receive FFP from the Federal Government
Provide on the job training and orientation for employees
Develop and implement procedures and guidelines to accomplish project objectives and goals
Review and analyze data concerning assigned projects in order to determine progress and effectiveness and make recommendations for changes in procedures
Respond to inquiries from EOHHS staff and others concerning assigned projects
Perform related duties such as attending staff meetings, maintaining records and preparing reports
Interact and represent the department on a professional level with EOHHS and other government agencies
Work individually as well as being a team member
Work internally and externally to resolve discrepancies for projects
Perform other duties as assigned.

Qualifications

Required Qualifications

Bachelor's degree in Finance, Public Administration or Business or equivalent
7 years' experience in fiscal management, finance or public administration
Proven skills in financial management or operational management
Thorough knowledge of funding and revenue sources for health and human service programs
Thorough knowledge of the federal and Massachusetts state regulations associated with the federal entitlement and block grant programs
Experience with contract development and management
Strong management and leadership skills.

Additional Information

PPR produces over one billion in gross charges to liable payers and generates over $1 billion in net revenue to the Commonwealth. PPR conducts various business services statewide for 10 health and human services agencies and more than 20 public facilities that include hospitals, mental health centers and clinics, intermediate care and skilled nursing facilities, and various community-based services. Community-based services include Home and Community-based Waivers, Residential Rehabilitation Option and Targeted Case Management programs. The Revenue Operations Specialist will work closely with PPR staff and collaborate with the staff of EOHHS health and human services agencies that may include the Department of Developmental Services, Department of Mental Health, the Department of Public Health, the Department of Youth Services, the Division of Health Care Finance and Policy, the Executive Office of Elder Affairs, the Massachusetts Commission for the Blind, the Massachusetts Commission for the Deaf and Hard of Hearing, the Massachusetts Rehabilitation Commission, the Office of Medicaid, and the Chelsea and Holyoke Soldiers' Homes.

The Senior Manager will be assigned to the Department of Mental Health This position will have oversight of twenty staff who provide medical billing and accounts receivable services for 6 inpatient hospitals, 2 outpatient community mental health centers, and community services including Intensive Residential Treatment Programs and Targeted Case Management. This is a hybrid posision with minial travel required for meetings.

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Senior Manager Revenue Operations - Hybrid