Medicare Savings Program Manager (MSP)

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Medicare Savings Program Manager (MSP)

Job Number : 2025-47907

Category : Management

Location : Shrewsbury, MA

Shift : Day

Exempt / Non-Exempt : Exempt

Business Unit : ForHealth Consulting

Department : ForHealth Consulting - MEEP Medicare Eligibility Enhancement - W407612

Job Type : Full-Time

Salary Grade : 45

Num. Openings : 1

Post Date : April 10, 2025

GENERAL SUMMARY OF POSITION :

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

Under the direction of the Director or designee, the primary responsibilities include implementing and managing MSP policies and procedures, program reporting, enhancing current operations, and supervising staff. The Manager acts as a liaison with state and federal agencies, community resources, and program recipients to exchange information, coordinate activities, provide training, and resolve issues. They oversee and provide direct customer service to MassHealth members, their representatives, and providers. The primary goal is to ensure the accuracy of Medicare premium payment transactions and support Medicare benefits coordination, maintaining MassHealth's position as the Payor of Last Resort.

MAJOR RESPONSIBILITIES :

• Evaluate and assist in implementing changes to improve operational efficiency by reviewing reports and staffing information.
• Support and oversee revenue programs by monitoring progress, analyzing data, and reports.
• Perform supervisory functions including hiring, corrective actions, and performance evaluations.
• Make recommendations for priorities, program implementations, and operational improvements.
• Monitor revenue activities to ensure regular status updates and report potential risks or gains.
• Assist in developing and implementing policies and procedures for program monitoring and evaluation.
• Oversee activities of the assigned unit.
• Work on revenue management projects.
• Identify state programs eligible for FFP from the Federal Government.
• Provide on-the-job training and orientation for employees.
• Develop and implement procedures and guidelines to meet project objectives.
• Analyze data on projects to assess progress and effectiveness, recommending procedural changes.
• Respond to inquiries from EOHHS staff and others regarding projects.
• Attend staff meetings, maintain records, and prepare reports.
• Interact professionally with EOHHS and other government agencies.
• Work independently and as part of a team.
• Resolve discrepancies related to projects internally and externally.
• Perform other duties as assigned.

REQUIRED QUALIFICATIONS :

PREFERRED QUALIFICATIONS :

ADDITIONAL INFORMATION :

About HCFS and MEEP Team : Health Care Finance Solutions (HCFS), part of ForHealth Consulting at UMass Chan Medical School, leads in health care reform development and implementation. Located in Shrewsbury, MA, HCFS helps state agencies optimize savings and reimbursements, establish revenue programs, and increase health care services while reducing costs. The MEEP team coordinates federal and state benefits for Medicaid recipients, ensuring they receive all entitled benefits.

UMass Chan Medical School was recognized as a 2023 “DEI champion” by The Boston Globe and was named a U.S. News & World Report “2023 Best Medical School” for Primary Care and Research.

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