GENERAL SUMMARY OF POSITION:
The UMMS Revenue Operations Program is a newly created organization charged with consolidating and centralizing revenue functions for all of the Health and Human Service agencies under the umbrella of the Executive Office of Health and Human Services (EOHHS). The goals of the Revenue Operations Program are to maximize revenue for the Commonwealth and to coordinate revenue resources to insure that the Commonwealth is the payor of last resort.
The Revenue Operations Assistant Director is responsible to direct, manage, plan and provide leadership to a large revenue operations unit that spreads over two or more EOHHS agencies. The Revenue Operations Assistant Director must have a working knowledge of the EOHHS health and human service programs and the rules that govern the revenue of those programs. The Assistant Director must provide the strong communication skills to lead the vision of newly formed revenue operations unit and the centralization and redesign of revenue at EOHHS. The Assistant Director must have the ability to accomplish work objectives where few precedents or guidelines are available. The position requires flexibility in thinking skills and the drive for improvement.
This position is funded through an Interagency Service Agreement (ISA) with the Executive Office of Health and Human Services and is located in Boston with moderate travel to the UMMS Worcester campus required.
About the Health Care Financing and Public Health Initiatives Unit
Health Care Finance Solutions 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 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, HCFS identifies 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 Public Health Initiatives unit at HCFS extends these services to state and local public health authorities to enhance their ability to sustain essential health care services to communities by identifying payers for these services and coordinating with other payers to seek reimbursement for these services. PHI provides its clients with comprehensive medical billing and accounts receivable mechanism, as well as other services, to maximize the collection of federal, third-party, and private reimbursement for health care and related services provided by state and local public health authorities. The program produces over $8 million in gross charges to liable payers and generates over $3.5 million in net revenue.
The Assistant Director will manage and oversee PHI contracts,clients and staff to support existing and new business opportunities.