Manager Medicare Savings Program; MSP

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• Job Number:
• Category: Management
• Location: Shrewsbury, MA
• Shift: Day
• Exempt/Non-Exempt: Exempt
• Business Unit: For Health Consulting
• Department: For Health Consulting - MEEP Medicare Eligibility Enhancement - W407612
• Job Type: Full-Time
• Num. Openings: 1
• Post Date: May 19, 2025

Working as a member of the Medicare Eligibility Enhancement Programs Team at Health Care Finance Solutions (HCFS), the Medicare Savings Program Manager is responsible and accountable for oversight of all day-to-day operations of the Medicare Savings Program (MSP) Unit. The MSP Unit is responsible for administering the Medicare Savings Program on behalf of Mass Health and the Massachusetts Executive Office of Health and Human Services.

Under the direction of the Director or designee, the primary responsibilities of the Manager include the implementation and management of MSP policies and procedures, program reporting, enhancement of current program operations and supervision of program staff. The Manager will act as a liaison with various entities, including state and federal agencies, community resources and program recipients, to exchange information, coordinate activities, provide training, and resolve issues.

The Manager will oversee and provide direct customer service to Mass Health members, their representatives and providers. The Medicare Savings Program Manager’s primary goal is to ensure the accuracy and integrity of Medicare premium payment transactions and to support coordination of Medicare benefits, maintaining Mass Health’s position as the Payor of Last Resort.

• Evaluate and assist in implementing change to increase the efficiency of operations by reviewing reports and information from staffing.
• Support and oversee revenue program by monitoring the progress of revenues and analyzing the data and reports.
• Perform supervisory functions of hiring, corrective action and employee performance evaluation.
• Make recommendations for priorities and program implementations.
• Make recommendations for improvements to program operations.
• Closely monitor the revenue activities in the assigned unit to ensure the regular status of the revenues and report on the potential risks for shortfalls or potential gains.
• Assist in developing and implementing policy and procedure standards in regards to program monitoring and evaluation.
• Oversee and monitor activities of assigned unit.
• Work on revenue management projects.
• Identify state programs that may be eligible to receive FFP from the Federal Government.
• Provide on the job training and orientation for employees.
• Develop and implement procedures and guidelines to accomplish project objectives and goals.
• Review and analyze data concerning assigned projects in order to determine progress and effectiveness and make recommendations for changes in procedures.
• Respond to inquiries from EOHHS staff and others concerning assigned projects.
• Perform related duties such as attending staff meetings, maintaining records and preparing reports.
• Interact and represent the department on a professional level with EOHHS and other government agencies.
• Work individually as well as being a team member.
• Work internally and externally to resolve discrepancies for projects.
• Perform other duties as assigned.

• Bachelor's Level Degree or…