Enhanced Coordination of Benefits Program Coordinator


Job Number: 2026-50020
Department: ForHealth Consulting – Third Party Liability -
W401920
Job Type: Full-Time
Work Location: Hybrid
Salary Minimum: USD
$45,000.00/Yr.
Salary Maximum: USD $54,000.00/Yr.

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.

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.

REQUIRED
QUALIFICATIONS:

  • Bachelors 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

Posting
Disclaimer:

This job posting outlines the primary responsibilities and qualifications for the role but is not intended to be an
exhaustive list. Duties and expectations may evolve in response to the needs of the department and the broader institution.

In
alignment with our commitment to pay transparency, the base salary range for this position is listed above (exclusive of benefits and
retirement). At UMass Chan Medical School, final base salary offers are determined based on a combination of factors, including your skills,
education, and relevant experience. We also consider internal equity to ensure fair and consistent compensation across our teams.

Please note that the range provided reflects the full base salary range for this position. Offers are typically made within the
midrange to allow for future growth and development within the role.

In addition to base pay, UMass Chan offers a comprehensive
Total Rewards package, which includes paid time off, medical, dental, and vision coverage, and participation in a 401(a)-retirement plan,
with the option to contribute to a voluntary 403(b) plan.

UMass Chan welcomes all qualified applicants and complies with all state
and federal anti-discrimination laws.


Leave a Reply

Your email address will not be published. Required fields are marked *