Edtech.com's Summary

University of Massachusetts Medical School is hiring a Mgr, Program Compliance- Disability Services. This role oversees compliance with state and federal regulations in disability determinations within Disability Evaluation Services, monitors quality assurance processes, and contributes to RFP research and agency procedural standards development.

Highlights

Develops evaluation criteria and methodologies for disability determination accuracy.
Monitors data collection, reporting, and trending for compliance activities.
Facilitates the Quality Assurance Team’s quality improvement initiatives.
Conducts random sample assessments of disability determinations for improvement.
Collaborates on training initiatives to enhance review accuracy and quality.
Prepares quality assessment reports for agencies and contributes expert content to RFP deliverables.
Drafs agency procedural standards aligned with state and federal regulations.
Requires Bachelor's degree in health-related field and 3-5 years of professional experience.
Experience in health settings, case review applying regulations, and leadership in team environments needed.
Preferred qualifications include a Master's degree and regulatory experience with social security disability determinations.

Mgr, Program Compliance- Disability Services Full Description

Overview:

Under the direction of the Director of Quality, Disability Evaluation Services (DES) and in collaboration with other senior and executive staff, the Program Compliance Manager is responsible for assuring that disability determinations conducted within DES are compliant with state and federal regulations, and interagency agreements. In addition, this position may assist in RFP research, proposal response and in some instances, act as a funded contributor (staff assignment) in new business projects awarded.

Responsibilities:

Develop criteria and methodologies consistent with program goals to evaluate the accuracy of the process and outcome of disability determinations.
Monitors data collection, reporting and trending activities relating to program compliance activities.
Facilitates the Quality Assurance Team with the development of quality improvement initiatives and their overall effectiveness in accordance with the DES mission and all regulatory requirements.
On an ongoing basis, conducts random sample assessments of disability determinations, targeting general areas of improvement and the accuracy and quality of reviews conducted by disability review staff.
On an ongoing basis collaborates with appropriate DES staff to assist in the development and presentation of training initiatives designed to improve accuracy and quality of the review process.
Prepares reports to the agencies regarding quality assessment.
Provides expert content material toward RFP deliverables
Research and draft agency procedural standards in accordance with relevant State and Federal regulations
Performs other duties as assigned/needed

Qualifications:
REQUIRED QUALIFICATIONS:

Bachelor's Degree or in Health0related field or equivalent
3-5 related professional experience; experience in health-related setting
Provide leadership in a dynamic team environment.
Demonstrated commitment to and experience with modern technological tools and systems
Experience with case review in the context of applying regulations

Additional Information:
Preferred Qualifications:
Master's Degree in health-related field or equivalent
Regulatory experience with social security disability determination process

Original Job Description

Overview:

Develop criteria and methodologies consistent with program goals to evaluate the accuracy of the process and outcome of disability determinations.
Monitors data collection, reporting and trending activities relating to program compliance activities.
Facilitates the Quality Assurance Team with the development of quality improvement initiatives and their overall effectiveness in accordance with the DES mission and all regulatory requirements.
On an ongoing basis, conducts random sample assessments of disability determinations, targeting general areas of improvement and the accuracy and quality of reviews conducted by disability review staff.
On an ongoing basis collaborates with appropriate DES staff to assist in the development and presentation of training initiatives designed to improve accuracy and quality of the review process.
Prepares reports to the agencies regarding quality assessment.
Provides expert content material toward RFP deliverables
Research and draft agency procedural standards in accordance with relevant State and Federal regulations
Performs other duties as assigned/needed

Qualifications:
REQUIRED QUALIFICATIONS:

Bachelor's Degree or in Health0related field or equivalent
3-5 related professional experience; experience in health-related setting
Provide leadership in a dynamic team environment.
Demonstrated commitment to and experience with modern technological tools and systems
Experience with case review in the context of applying regulations

Additional Information:
Preferred Qualifications:
Master's Degree in health-related field or equivalent
Regulatory experience with social security disability determination process

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Mgr, Program Compliance- Disability Services

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Mgr, Program Compliance- Disability Services Full Description

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