GENERAL SUMMARY OF POSITION:
Working as a member of the Medicare Eligibility Enhancement Programs Team at the Center for Health Care Financing (CHCF), the Medicare Premium Assistance Senior Manager is responsible and accountable for oversight of all day-to-day operations of the Medicare Premium Assistance Unit. The Medicare Premium Assistance Unit is responsible for administering the Massachusetts Medicare Buy-In Program on behalf of the MassHealth program and the Massachusetts Executive Office of Health and Human Services.
Under the direction of the Director or designee, the primary responsibilities of the Senior Manager include the implementation and management of Medicare Buy-In Program policies and procedures, program reporting, enhancement of current program initiatives and supervision of program staff. The Senior Manager will act as a liaison with various entities, including state and federal agencies, community resources and program recipients, to exchange information, coordinate activities, provide training, and resolve issues. The Senior Manager will be accountable for providing direct customer service to MassHealth members, their families and providers to provide information and investigate and resolve issues related to Medicare coverage, eligibility, and premium payments. The Medicare Premium Assistance Senior Manager’s primary goal is to ensure the accuracy and integrity of Medicare coverage information and premium payment transactions within MassHealth systems and manage Medicare Premium Assistance participation to assure coordination of Medicare benefits with MassHealth and support MassHealth as the Payor of Last Resort.
About the Center for Health Care Financing and Medicare Eligibility Enhancement Programs Team
The Center for Health Care Financing (CHCF) is a part of Commonwealth Medicine (CWM), 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, CWM and CHCF 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.
Located in Charlestown, MA, CHCF 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 CHCF 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 and Medicare Buy-In benefits for state Medicaid recipients. Current activities include identification of Medicare benefits, assistance with the Medicare application and enrollment process, review of eligibility for Social Security benefits and reconciliation of state Medicare premium payments. MEEP currently works with state Medicaid agencies in four states.
This position is located in Charlestown, Massachusetts, just north of Boston and easily accessible by public transportation.