Healthcare Operations Support Manager in Amherst, NY

Salary Range: $95,000 year

Fallon Health offers a Program of All Inclusive Care for the Elderly (PACE) to serve the health needs of dual-eligible residents of the greater Buffalo area including Erie and Niagara counties.

Healthcare Operations Support Manager-Regulatory Compliance
No Nights No weekends

Assists the FHW PACE Program Director to oversee and manage PACE program level operational and regulatory functions in support of the program’s quality, strategic and financial goals. Responsible for compiling reports and analyzing data and making program level recommendations. Responsible for supporting PACE site related to the development and implementation of processes and workflows, network development, contract management, claims, billing, and authorization assistance. This position may require intermittent travel to local contracted partners to provide support/guidance on various operational topics.

Qualifications requirements
Education:
- Bachelor’s degree in health care administration, business administration or related field preferred

Experience:
- A minimum of 5 years’ experience in health care, elder services, business administration or related field   
- A minimum of 2 years of regulatory compliance experience required
- Understanding of Medicare and Medicaid regulations a plus
- Excellent written and verbal communication skills
- Ability to establish effective productive relationships with peers and leaders
- Ability to work independently and exercise sound judgment
- Ability to establish effective record-keeping systems and prepare clear and concise reports
- Comfortable delivering constructive feedback to peers and indirect reports on performance and productivity
- Comfortable interacting with individuals at all levels of FH.
- Comfortable interacting with and onboarding newly contracted external partners

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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