ForHealth Consulting at UMass Chan Medical School · 4 hours ago
Managing Director, Health Care Finance Solutions
Westborough, MA
Full-time
Onsite
Director/Executive
10+ years expForHealth Consulting, part of UMass Chan Medical School, is seeking a Managing Director for their Health Care Finance Solutions division. The role involves overseeing financial management, strategic direction, and business development to meet the organization's mission and objectives while ensuring compliance with federal and state regulations.
Management Consulting
Responsibilities
Lead the Health Care Finance Solutions division and ensure that all employees buy into the ForHealth Consulting and Health Care Finance Solutions vision
Set and implement the strategic direction and long-term business strategies of HCFS, ensuring alignment with ForHealth Consultings vision, growth objectives, and an integrated organizational structure supported by measurable outcomes
Oversee all aspects of HCFS financial management, including budget development aligned with margin forecasts, regular financial performance reviews, mitigation of financial risks, and ensuring timely and accurate preparation of claims for federal reimbursement
Analyze opportunities for growth in the HCFS market segments to drive profitability; engage in product research and development utilizing market data; evaluate and execute opportunities for internal and external partnerships to increase market competitiveness
Develop and implement innovative product lines that integrate HCFS competencies, with a focus on operational excellence and outcomes-based deliverables
Set organizational key performance indicators, including productivity metrics, to gauge performance in all areas of responsibilities, ensuring alignment with ForHealth true north metrics
Identify opportunities to increase efficiency and speed up processes across the HCFS units and implement new processes and procedures, including automation, across the business
Conduct regular SWOT analysis to mitigate any potential financial, strategic and operational risks through industry and market changes
Promote HCFS services and expand the business portfolio by developing and maintaining key client relationships, negotiating contracts, representing HCFS at regional and national forums, and delivering presentations to diverse audiences to enhance visibility and credibility
Preserve and promote the HCFS talent pool by evaluating the workforce and launching tailored programs focused on employee engagement, competency build and succession planning
Collaborate with the Managing Director, Digital Solutions and team to plan and implement infrastructure services required to support the technology needs of ForHealth Consultings diverse organization
Ensure compliance with all applicable federal and state laws, regulations, and oversight agency requirements, including responding to audits and inquiries, and fostering staff awareness and adherence to data privacy, security, and operational standards
Oversee and support department leaders in negotiating directly with clients concerning the scope, objectives, delivery dates and budgets for projects assigned to their section
Responsible for the fulfillment of the Interagency Services Agreement between ForHealth Consulting and the EOHHS by ensuring the development and implementation of the revenue operations, third-party liability, federal revenue and financial consultant activities described in that agreement
Participate on and be a key contributor to various senior leadership committees, as requested
Perform related duties as assigned
Qualification
Required
Master's Level Degree in business or related field or equivalent
10+ years experience working in a highly successful operational/management role with significant budget and/or P&L responsibility
7-9 years thorough knowledge of all financing aspects of the Medicare and Medicaid programs and other key federal entitlement programs and experience in the interpretation and application of federal rules and regulations
At least 7-9 years experience working with Medicaid/Medicare programs, either at a federal or state agency level
Excellent written and verbal skills; writes and presents effectively; adjusts to fit the audience and the message; strongly gets a message across
Exceptional leadership and people development skills
A track record of creating actionable, multi-year strategic plans
Has managed a large department and/or organization with many layers of staff and management
Ability to design and implement effective performance measurement systems
Proven experience managing multiple projects and priorities
Company
ForHealth Consulting at UMass Chan Medical School
ForHealth Consulting partners with purposeful organizations, including state Medicaid agencies and health and human services organizations, to make the healthcare experience better for all – more equitable, effective, and accessible.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Carly Gould
Senior Human Resources Business Partner
Jatin Dave
Chief Medical Officer, MassHealth
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