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UMass Chan Medical School · 15 hours ago

Managing Director, Health Care Finance Solutions

United States

Full-time

Remote

Director/Executive

10+ years exp

UMass Chan Medical School is seeking a Managing Director for their Health Care Finance Solutions division. The role involves overseeing all operational activities, driving business objectives, and managing financial performance while fostering relationships with key stakeholders in the health care sector.

EducationHigher EducationMedical

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 Consulting’s 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 Consulting’s 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

Health care financingMedicaid/Medicare programsBudget managementStrategic planningLeadership skillsInterpersonal skillsWritten communicationProject management

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