Job Description
The MassHealth Cash Flow and Payment Manager is responsible for managing cash flow and payments across MassHealth budgetary appropriations and trust funds totaling more than $22 billion. In addition to managing programmatic expenditures to providers, the Manager and their team are responsible for ensuring administrative and supplemental payments to vendors and providers are timely and accurate. The manager is responsible for tracking the newly created payor surcharge trust, the hospital investment trust, the Delivery System Reform Incentive Program (DSRIP), the Ambulance Investment trust, and other assessment-related programs. The Manager works closely with the Accounting, Federal Revenue, Contracts, and EHS Budget units to resolve payment and federal claiming issues and ensure compliance with state and federal laws and regulations. This position is critical to the annual state budget process and the maintenance of the various MassHealth trusts and programmatic spending.
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Duties and Responsibilities (these duties are a general summary and not all inclusive):
Cash flow tracking and analysis
Management and oversight of all cash flow tracking functions for MassHealth programmatic accounts, which include:
o Development of annual cash flow projections (by week and account); ensure alignment with budget forecasts
o Ensure sufficient funding is available in accounts and object classes at all times; identify and process allotment and object class transfer requests as needed
o Compare actual spend to forecasted spend on a biweekly basis; provide reporting to ANF & Comptroller's Office
o Fiscal year-end management to ensure final spend in line with targets
o Submission of expenditure corrections as necessary
o Payment file submission
Trust Tracking and Analysis
Management and oversight of all cash flow tracking functions for Trust Funds managed by the MassHealth Budget team, which include:
o Hospital Performance
o Ambulance Payments
o Population Health
o DSRIP
o Substance Use Disorder
o Non-Acute Hospital
o Payor Surcharge
o Health Safety Net
o Medical Assistance
o Safety Net Provider Payment
Functions include:
o Modeling cash flow projections (expenditures and revenue) in coordination with program teams
o Quarterly reconciliation of actual spending and revenue
o Statutory reporting as necessary
o Ensure Trusts are in balance at the end of the fiscal year
o Coordinate with OFFR to ensure federal revenue is correctly credited to each account
o Coordinate with Accounting to ensure programmatic spend is correctly credited to each account.
o Certify budgetary estimated receipts at the start of the fiscal year, as needed
o Maintain transfer schedules for the Medical Assistance Trust Fund (MATF) and Safety Net Provider Payment Trust
o Provide internal and external reporting, as needed
Vendor Contracts and ISAs
Management and oversight of all functions for vendor contracts and ISAs (i.e., contracts with other state agencies) managed by the MassHealth Budget team, which include:
o Manage relationships with and provide customer service to internal contract and ISA managers to facilitate financial management of contracts, including ForHealth Consulting partners
o Ensure all contracts are encumbered accurately for expenditure and revenue tracking
o Track invoice submissions to ensure vendors receive all payments timely; ensure all invoices are paid by the end of the fiscal year
o Update Contract Tracker on a monthly basis
o Maintain standard operating procedure documentation for various processes
o Analyze quarterly expenditure reporting from ForHealth Consulting
Managed Care Payments
Oversee monthly Managed Care Organization (MCO), MassHealth Behavioral Health Partnership (MBHP), Accountable Care Organization (ACO) Model A, ACO Model B, OneCare, Senior Care Options (SCO) and Program of All-inclusive Care for the Elderly (PACE) capitation payments:
o Oversee calculation, entry, review, and approval of non-capitated managed care payments
o Ensure submission/entry of updated capitation rates are accurate and timely in coordination with MMIS partners
o Work with OFFR and Accounting on reporting and troubleshooting funding issues
Compliance
Participate in compilation of information and responding to questions related to Centers for Medicare & Medicaid Services (CMS) Audits, Single State Audits
Preferred Qualifications:
• Ability to set goals and strive for excellence or improvement.
• Ability to identify a problem or opportunity and take action to address current or future problems and opportunities.
• Ability to think through problems, organize information, and identify key factors and underlying causes to generate solutions.
• Ability to work cooperatively with others and be part of a team.
About MassHealth:
The mission of MassHealth is to improve the health outcomes of our diverse members, their families, and their communities by providing access to integrated health care services that sustainably promote health, well-being, independence, and quality of life.
For more information about our agency and programs please visit: www.mass.gov/masshealth
Pre-Offer Process:
A criminal and tax history background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori
Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.
If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form.
For questions, please the contact the Office of Human Resources at 1-800-510-4122 and select option #4
TO APPLY:
Please upload both Resume and Cover Letter for this position when applying.
Qualifications
MINIMUM ENTRANCE REQUIREMENTS:
Applicants must have at least (A) five (5) years of full-time or, equivalent part-time, professional, professional internship, administrative, supervisory, or managerial experience in financial management work (i.e. budgeting, accounting, auditing, management analysis, program evaluation, financial reporting of program results) or (B) any equivalent combination of the required experience and substitutions below
Substitutions:
I. A certificate in a relevant or related field may be substituted for one (1) year of the required experience.
II. A Bachelor's degree in a related field may be substituted for two (2) years of the required experience.
III. A Graduate degree in a related field may be substituted for three (3) years of the required experience.
IV. A Doctorate degree in a related field may be substituted for the four (4) years of the required experience.
Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
Want the specifics? Explore our Employee Benefits and Rewards!
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.