Managing Director, Health Care Finance Solutions

Managing Director, Health Care Finance Solutions

Location:

US-MA-Westborough

Posted: 4 weeks ago (10/28/2025 5:05 PM)

Requisition Number:

# of Openings: 1

Under the general direction of the Deputy Executive Vice Chancellor (DEVC) of Operations, For Health Consulting, the Managing Director, Health Care Financing Solutions (HCFS) oversees the full spectrum of activities under the HCFS division. The Managing Director of HCFS is a senior executive who is accountable for driving For Health Consulting mission and business objectives. The position oversees all third‑party liability, federal claiming, and program integrity projects, which includes Medicaid‑related revenue recovery projects and cost avoidance activities in 14 states and the District of Columbia.

For Health Consulting, the health‑care consulting and operations division of UMass Chan Medical School, partners with and supports both public and private health to address some of the most complex problems facing hard‑to‑reach, medically complex, and historically marginalized populations.

In Massachusetts, HCFS provides key operational supports to the Executive Office of Health and Human Services (EOHHS) and Mass Health (Medicaid) in the following areas:
Third‑Party Liability and Benefit Coordination;
Financial and Program Compliance;
Federal Claiming for medical services provided at state hospital facilities and affiliated community‑based programs; statewide management of the Massachusetts' School‑Based Claiming program; administration of the Medicare Buy‑in and Premium Assistance programs; and, technical support to the state's Health Information Exchange‑Integrated Eligibility System (HIX‑IES) initiative. Also, HCFS administers the State Supplement Program on behalf of the Department of Transitional Assistance (DTA) and its approximately 190,000 program beneficiaries, conducts state lab billing for the Department of Public Health, and provides vaccine reimbursement services to about 200 local boards of health.

The Managing Director will be responsible for leading the strategic business and tactical operations of HCFS, which includes the development, implementation and evaluation of HCFS growth strategy, and for identifying sector needs and opportunities for business development both within Massachusetts and out of state in alignment with For Health Consulting strategic objectives. The successful candidate will maintain relationships with key business partners and other senior industry leaders in order to leverage best practices, evaluate emerging technologies and distribute knowledge internally to inform plans and strategies.

The Managing Director will continually evaluate the performance of HCFS against the strategic plan and recommend and/or implement adjusted allocations.

The ideal candidate will possess deep knowledge of how health care is financed in the United States and the key elements governing public assistance entitlement programs. The Managing Director will display outstanding interpersonal and operational leadership skills, and the ability to develop and sustain productive working relationships with key stakeholders and clients.

• Lead the Health Care Finance Solutions division and ensure that all employees buy into the For Health Consulting and Health Care Finance Solutions vision.
• Set and implement the strategic direction and long‑term business strategies of HCFS, ensuring alignment with For Health Consulting's vision, growth objectives, and an integrated organizational structure supported by measurable outcomes.
• Oversee all aspects of HCFS financial management, including budget development aligned with margin forecasts, regular financial performance reviews, mitigation of financial risks, and ensuring timely and accurate preparation of claims for federal reimbursement.
• Analyze opportunities for growth in the HCFS market segments to drive profitability; engage in product research and development utilizing market data; evaluate and execute opportunities for internal and external partnerships to increase market competitiveness.
• Develop and implement innovative product lines that integrate HCFS competencies, with a…