Overview
GENERAL SUMMARY OF POSITION:
Under the general direction of the Manager or designee, the Program Coordinator will be responsible for coordinating assigned program activities. The primary responsibilities of the program coordinator include providing customer service to Medicaid clients to assist them with the Medicare enrollment process, handling in-coming calls from a diverse client population, conducting outreach and follow up calls to clients to ensure successful enrollment in Medicare, updating client records in…
proprietary database and reporting program activities and results. The Benefit Coordination Consulting (BCC) Program Coordinator will participate in the daily operations of Medicare Eligibility Enhancement Program projects and assist in the project activities relating to cost savings and revenue initiatives both in- and out-of-state.
Responsibilities
MAJOR RESPONSIBILITIES:
- Coordinate and monitor assigned program activities.
- Review and analyze data relating to program effectiveness.
- Make recommendations for changes in procedures and guidelines and formulate strategies for accomplishing program objectives.
- Provide technical assistance and advice to agency personnel and others concerning assigned programs in order to exchange information, resolve problems and ensure compliance with established policies, procedures and standards.
- Develop and implement procedures and guidelines to accomplish assigned agency program objectives and goals.
- Confer with management staff and other agency personnel to determine program requirements and availability of resources and assist in developing program evaluation criteria and standards.
- Evaluate program activities and make recommendations for program modifications.
- Review existing regulations that pertain to programs and services and make recommendations for improvements or changes, particularly as it relates to meeting contractual requirements.
- Comply with established policies, health & safety regulations and requirements, procedures and department objectives.
- Review and monitor compliance with the federal and state regulations.
- Maintain the confidentiality of all business documents and correspondence per UMass Chan Medical School/ForHealth Consulting procedures and HIPAA regulations
- Perform other related program duties as assigned.
Qualifications
REQUIRED QUALIFICATIONS:
- Bachelor’s degree in business or public administration or related field; or equivalent experience.
- Two years of related experience in business administration, business management or public administration.
- Ability to understand, apply and explain pertinent laws, rules, regulations, policies, and procedures.
- Ability to work independently and collaboratively.
- Ability to relate and communicate well with a diverse client population.
- Ability to communicate effectively in both writing and oral presentation.
- Demonstrated ability to work appropriately with confidential information.
- Skilled in problem solving and team building
- Effective negotiating skills.
- Strong interpersonal skills needed to interact with all organizational levels.
- Demonstrated ability to assess priorities and operate in a flexible manner.
- Demonstrated experience using computer based tools including email, Microsoft Word, Excel, PowerPoint and database environments.
PREFERRED QUALIFICATIONS:
- Previous professional experience in customer service or call center role.
- Experience working with federal and state agencies, preferably health and human services organizations.
- Knowledge of state and federal health insurance programs.
- Ability to utilize questioning and listening skills that support effective telephone communication.
- Ability to apply the proper telephone etiquette to satisfy various client and agency situations.
- Experience working with Microsoft Access and SQL data environments
Organization
Realize Your Opportunities – A Career at UMASS Medical School
Inside Workings at UMASS Medical School
The University of Massachusetts Medical School (UMMS), the Commonwealth's only public medical school, is proud of our role in serving the people of Massachusetts. Although, its the inside workings of UMMS that makes the difference.
Mission and Culture
- We’re serious about our mission and about our people.
- Real World Impact - Our people get excited about our mission of real-world impact in health sciences education, research and public service.
- International Prominence and New Opportunities - As this institution has grown to national – and international – prominence, we’ve found new opportunities to train tomorrow’s physicians, nurses and scientists, discover causes of and cures for disease and help improve the quality of health care.
- Deep Commitment - With our clinical partner, UMass Memorial Health Care, and our other teaching affiliates, we share a deep commitment to national distinction in patient care.
- Valued Partnerships – UMMS partners with Commonwealth Medicine, the health care consulting arm of UMMS. Also, UMMS partners with MassBiologics in scientific collaborations, technology management and creating partnerships for the development of products for the benefit of patients. These valued partnerships help us to provide services and programs to help meet our needs at UMMS and the public.
- Proud Contributors - People at UMMS enjoy the feeling of going to work every day knowing what they do is truly important and worthwhile.
- Complementary and Inseparable - These varied parts of our mission and culture are complementary and inseparable.
Careers
UMMS, the state’s first and only public academic health sciences center, educates physicians, scientists and advanced practice nurses to heal, discover, teach and care, with compassion. UMMS is a world-class institution with opportunities to match.
Competitive Compensation – UMMS offers salaries that are competitive with Worcester-area employers. When combined with our generous benefits, perks, and paid time off, many job seekers are surprised to find a total rewards package that matches or exceeds their current situation.
Targeted Hiring Process – At UMMS, there are actually multiple hiring processes for different segments of our workforce. In nearly all cases, UMMS hiring process is decentralized, with qualified candidates screened and referred to an academic officer or manager with hiring authority.
24/7 Access to Employment Opportunities – iCIMS is our online job search and application system. iCIMS is available 24/7 to provide you with a convenient and up-to-date view of the available employment opportunities across our campuses. Updates are made daily and include all faculty and non-faculty position listings from every school and department within the UMMS. When you identify a position you are interested in and qualified for, apply online. New opportunities become available frequently so it pays to check back often!
Benefits
With outstanding benefits, competitive pay, extensive learning opportunities, and a stimulating and attractive work environment, UMMS may be exactly the employer you’ve been looking for.
- Superior Benefits - UMMS offers a wide range of benefits and perks that invite comparison with the best employers in the Worcester area – and with academic institutions anywhere. UMMS provides superior medical and dental coverage for you and your family, fully funded retirement plans, generous time off, a Tuition Assistance Plan – and much more.
- People Centered - UMMS is an employer, but it is also a community. Its comprehensive medical and dental benefits, retirement plans, and even paid holidays reflect an institution built around people, with a deep respect for their differences and needs.
- Commitment to Healthy Living - UMMS provides resources to help you balance work and life and encourages healthy living through great programs and discounts for fitness, physical activity, weight management, nutritional counseling and general wellness available through our health insurance plans.
- Breadth of Offerings - Above all, the breadth of UMMS offerings set the School apart and makes it an environment favored by all sorts of smart, career-savvy people.
Apply for a Job
As an equal opportunity and affirmative action employer, UMMS recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds.
Online - To view all job opportunities and apply online, visit www.umassmed.edu/hr and click on the “Careers” tab.
Start Now and Realize Your Opportunities!
A History of Making Vital Improvements - UMASS Medical School Milestones
- 1962: Legislation establishes University of Massachusetts Medical School
- 1970: First medical students begin classes in Shaw Building
- 1974: First class graduates 16 MDs
- 1979: PhD program begins
- 1986: Graduate School of Nursing opens
- 1986: PhD program becomes Graduate School of Biomedical Sciences
- 1994: Graduate School of Nursing initiates PhD program
- 1998: UMass Clinical System and Memorial Health Care merge to form UMass Memorial Health Care
- 2001: Lazare Research Building opens
- 2002: Campus Modernization begins on the University Campus
- 2004: Graduate Entry Pathway Program established at the Graduate School of Nursing
- 2005: PhD Program in Clinical & Population Health Research established at the Graduate School of Biomedical Sciences
- 2005: Massachusetts Biologic Laboratories opens new manufacturing and filling facility in Mattapan
- 2006: Craig Mello, PhD, Blais University Chair in Molecular Medicine and Howard Hughes Medical Institute Investigator, is awarded the Medical School's first Nobel Prize. Dr. Mello shared the 2006 Nobel Prize in Physiology or Medicine with Andrew Fire, PhD, of Stanford University, for their discoveries related to RNA interference.
- 2007: Michael F. Collins, MD, is named chancellor and Terence R. Flotte, MD, is named dean of the School of Medicine.
- 2009: Groundbreaking for the Albert Sherman Center, a 500,000-square-foot research and education facility slated for completion in 2012.
- 2010: Ambulatory Care Center opens
- 2012: The Albert Sherman Center, a 500,000-square-foot research and education facility, completed and opens