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ServiceNet
Amherst
Job Description Job Description Benefits: Dental insurance Health insurance Opportunity for advancement Developmental Brain Injury Services (DBIS). DB Mt. View Program. Fulltime. $48,620-$50,620 . Position Summary: Using Positive Behavior Support (PBS) strategies, all DBIS staff are professional team members responsible for supporting each ind
Job Source: ServiceNetDAY BROOK VILLAGE NURSING
Holyoke
Job Description Job Description Essential Job Functions: Ensue delivery of care for each resident according to individualized care plan while meeting or exceeding care standards. Works throughout the Life Enrichment Unit. Involved with patients, family members, personnel, visitors, governmental agencies, etc., under all conditions/circumstances.
Job Source: DAY BROOK VILLAGE NURSINGServiceNet
Westfield
Job Description Job Description Benefits: Dental insurance Health insurance Developmental Brain Injury Services (DBIS). Residential Program: Furrowtown Fulltime. $48,620-$50,620 . Position Summary: Using Positive Behavior Support (PBS) strategies, all DBIS staff are professional team members responsible for supporting each individuals right to
Job Source: ServiceNetServiceNet
Westfield, MA, United States
Job Description Job Description Benefits: Dental insurance Health insurance Developmental Brain Injury Services (DBIS). Residential Program: Furrowtown Fulltime. $48,620-$50,620 . Position Summary: Using Positive Behavior Support (PBS) strategies, all DBIS staff are professional team members responsible for supporting each individuals right to
Job Source: ServiceNetServiceNet
South Hadley
Job Description Job Description Benefits: Dental insurance Health insurance Developmental Brain Injury Services (DBIS). Residential Program: Searle Fulltime. $48,620-$50,620 . Position Summary: Using Positive Behavior Support (PBS) strategies, all DBIS staff are professional team members responsible for supporting each individuals right to liv
Job Source: ServiceNetHorizon Health
Springfield, MA, United States
*Clinical Program Director* *OFFERING RELOCATION PACKAGE IF NEEDED* *Horizon Health* is seeking a *Program Director *to oversee the Behavioral Health Program at St. Joseph Hospital in *Nashua, NH*. Included in these responsibilities are: 1) the development and maintenance of a high-quality treatment program; 2) the development and implementation
Job Source: Horizon HealthServiceNet
West Springfield
Job Description Job Description Benefits: Dental insurance Health insurance Developmental Brain Injury Services (DBIS). Residential Program: Brush Hill Location: West Springfield, MA Fulltime. $48,620-$50,620 . Position Summary: Using Positive Behavior Support (PBS) strategies, all DBIS staff are professional team members responsible for suppo
Job Source: ServiceNetServiceNet
Agawam, MA, United States
Benefits: Dental insurance Health insurance Opportunity for advancement Developmental Brain Injury Services (DBIS). DB Mt. View Program. Fulltime. $48,620-$50,620 . Position Summary: Using Positive Behavior Support (PBS) strategies, all DBIS staff are professional team members responsible for supporting each individual’s right to live a safe,
Job Source: ServiceNetSpringfield
Job Description Job Description
Purpose
Leads Health New England's strategic Medicare development, management, and enhancement program and services and plays a crucial role in setting the vision and growth strategy across all distribution channels (considering both product and strategic footprint implications).
Liaises with internal and external leaders to gain awareness and build out the multi-year expansion, synergies, and growth strategy. Serves as an informational and regulatory SME for all HNE partners. Represents HNE’s Medicare Program in the public, attending Regulatory meetings, legislative updates and other public presentations as appropriate and partners with organizational leadership to identify, track, manage, and implement strategies while sustaining a strong relationship with The Executive Office of Health and Human Services (EOHHS) and CMS.
Accountabilities Leads and drives a customer focused culture throughout their team to deepen client relationships and leverage broader business relationships, systems and knowledge
Understands how Health New England’s business and culture should be considered in day-to-day activities and decisions
Creates an environment in which his/her team pursues effective and efficient operations of his/her respective areas in accordance with Health New England’s Values, its Code of Conduct and the Associate Handbook, while ensuring the adequacy, adherence to and effectiveness of day-to-day business controls to meet obligations with respect to operational, compliance, and conduct
Builds a high performance environment and implements a people strategy that attracts, retains, develops and motivates their team by fostering an inclusive work environment and using a coaching mindset and behaviors; communicating vison/values/business strategy; and, managing succession and development planning for the team
Leads Health New England's Medicare strategic opportunities within existing and expansion markets, develops additional growth strategies, and assesses opportunities with customers (prospective and current) and partners.
Develops Health New England’s Medicare strategic plans to mitigate risks in operational processes that could impact the plan’s effectiveness in satisfying regulatory deadlines and other legal requirements as well as identifies emerging product/market trend vulnerabilities and opportunities through analysis; reviews, development and implementation of action plans.
Serves as HNE contact with Regulatory agencies and departments to ensure alignment with financial compliance with all State and Federal regulations and requirements.
Actively participates in all activities to support the collaborative work with all HNE partner organizations and provides direction to ensure HNE maintains compliance with all State and Federal regulations and requirements.
Collaborates with distribution and matrix partners (Compliance & Regulatory, Sales, Marketing, Communications, IT, Network Contracting, Risk Adjustment, Medical/Health Services, and Finance) to manage the objectives of the line of business, improving quality and ensuring top rated experience for members and partners.
Partners with the Finance, the Revenue, Enrollment and Risk Adjustment and the Actuary team to understand financial drivers, support reporting and budget oversight functions, and the coordination and development of business unit financial plans and forecasts as well as to assess the revenue stream and work toward streamlining and ensuring the Line of Business maximizes revenue opportunities for sustainability.
Develop & monitor comprehensive strategies to support financial position while managing Medicare Profit and Loss statement (P&L) to help identify any potential concerns
Provides oversight of all financial activities for the Medicare line of business, regulatory and operational requirements while ensuring alignment with corporate leaders to execute short and long-range strategic plans.
Coordinates the development and monitor implementation action plans to seize high-reaching opportunities and respond to performance shortfalls/plan variances.
Education/Experience
Bachelor’s degree (Master’s Degree preferred) in health administration or science (i.e. Social Work, Public Health) preferred with a minimum of 7 years of experience leading a Medicare Program or an equivalent combination of education and experience. Medicare Sales Certification and Massachusetts Health Producers license an asset. In addition:
Expert-level knowledge of Medicare programs, regulations, and operations
Strong relationship builder
Strong leadership, communication, presentation, and organizational skills
Strong networking skills and strategic mindset with a strong focus on profitable growth
Knowledge of compliance procedures and regulatory requirements
Ability to learn quickly, adapt to change in a fast-paced environment
Expert knowledge and ability to work in a team & business partnership environment
Expert level of understanding of (industry) landscape, (trends, and key competitor strategic direction)
Strong analytical, creative problem solving and negotiation skills
Director Medicare Program Development jobs in Springfield
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