Associate Director, Program Implementation & Network Administration - Shrewsbury

Compensation

: $108,530.00 - $167,060.00 /year *

Employment Type

: Full-Time

Industry

: Information Technology



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POSITION SUMMARY:

Under the general direction of the Director, the Associate Director Program Implementation and Network Administration directs the creation and development of systematized operations and processes for the implementation of new and reconfigured programs within Disability and Community Services. This position leads the implementation and on-going management of all provider network activities for home and community-based waiver and demonstration providers. Responsibilities include providing direction in preparation and submission of business proposals and financial projections and analysis, creating standard and ad-hoc financial and management reports to support program planning and forecasting efforts, and working with other senior leadership in business development / expansion planning.

ESSENTIAL FUNCTIONS:

  • Oversee critical business functions including: directing the development of comprehensive management, ad hoc and fiscal reporting, participation in the evaluation and development of business opportunities, managing the development and maintenance of new contracts and ISA?s, and producing budget reports and projections based on volume analysis and organizational needs.
  • Lead complex project teams focused on the implementation of new and reconfigured programs and statewide initiatives.
  • Manage logistics and deliverables for high profile statewide health care reform initiatives, in partnership with EOHHS team members.
  • Assess current business operating system levels, processes, and workflows; initiate change as needed to ensure the department functions as a solution-oriented and valued resource.
  • Identify, assess and focus solutions to address client needs and department challenges.
  • Oversee statewide marketing, outreach, technical assistance, and training sessions, representing Massachusetts Medicaid, and interfaces with the provider community.
  • Direct credentialing, re-credentialing, enrollment, dis-enrollment, and claiming functions for applicable providers.
  • Manage all related provider enrollment, including evaluating credentialing requirements in accordance with state and federal regulations and guidelines, and ensuring providers adhere to related quality assurance principles and contract requirements.
  • Establish and maintain positive provider and state agency relationships, as well as with key internal stakeholders.
  • Oversee ongoing relationships with state agency partners and providers; including serving as the primary contact for identifying and addressing issues and training needs, and ensuring problem resolution.
  • Serve as a liaison between the Executive Office of Health and Human Services, Massachusetts Rehabilitation Commission, and providers, to ensure that provider network requirements, policies, processes, are communicated in a timely, accurate and positive manner.
  • Lead internal and external support and response teams for the resolution of operational problems as they pertain to implementation of new programs and administration of provider network functions
  • Represent the department and MassHealth at applicable activities including stakeholder meetings, community sessions, system user groups and other health data system organizations.
  • Oversee policy and procedure development, including application material development and related provider and staff training needs
  • Participate with partnering state agencies in completing provider on-site reviews and verifications of physical plant compliance with all applicable requirements for providers that provide center-based or on-site services, and identifying sanctioned, suspended or terminated providers using information available through federal and other licensing boards or government agencies.
  • Assist / lead process improvement initiatives such as developing/enhancing client reporting processes and documents
  • Develop procedures to ensure quality, compliance, and accuracy
  • Participate in the development of departmental policies and procedures
  • Develop/strengthen procedures to ensure compliance with state and federal regulations
  • Develop and implement auditing and quality assurance procedures
  • Collaborate with division management/leaders in coordinating HR initiatives
  • Manage direct report staff including hiring, performance review, disciplinary action, and termination
  • Provide supervision, guidance and ongoing training for assigned support staff
  • Lead and participate in CQI activities within the program
  • Comply with all safety and infection control standards specific to the work site.
  • Perform other similar and related duties as required or as directed.
  • REQUIRED QUALIFICATIONS:

  • Bachelor?s degree in Business Administration or related field.
  • 7-10 years business and management experience.
  • Effective verbal and written communication skills necessary to interact with all levels of staff.
  • Travel to off-site locations required.?
  • PREFERRED QUALIFICATIONS:

  • Human service or healthcare experience
  • *LI-AT1

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    Associated topics: administrative assistant, administrative officer, administrative support, asso, chief operations officer, document, front desk, operational assistant, records management, staff * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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