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Program Director
CA - Sacramento
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Opportunity Snapshot
If you are a business savvy leader with a drive to succeed and a knack for building strong relationships, this position offers you the opportunity to play a key role in high profile efforts to expand our business in California. While this state is already one of our highest revenue producers, there is still a great deal of business yet to be tapped. Health Management Systems (HMS) has posted 18% growth year over year since 2001 but we still maintain an entrepreneurial small-company culture in which individuals can make a difference and drive their own careers. As you help us expand the Western Region -- the region with the greatest potential for growth -- you will be in a position to take advantage of the "upward draft" of opportunity created by that growth.
You will assume leadership of two established programs contracted with California's Department of Health Care Services (DHCS), managing client relationships and overseeing operations, and also pursue new business opportunities. To be a good fit for this opportunity you will have significant management experience in Medicare, Medicaid, and/or commercial healthcare insurance claims, billing and/or collections, including a track record of success in direct client relationship/account management. You also will need solid sales and business development experience and a demonstrated ability to achieve targets on a consistent basis. We're looking for a "people person" with outstanding presentation skills.
Since 1985 HMS has focused exclusively on the healthcare industry; since then we have partnered with more than 45 Medicaid agencies, other state health programs, and more than 50 government-sponsored healthcare plans to help them recover billions of dollars, and save billions more through cost avoidance. Our portfolio of services, one of the broadest in the industry, includes coordination of benefits for Medicaid-Medicare, third-party liability, and pharmacy services; overpayment recovery; provider audits; medical support enforcement; and more.
What Else You'll Bring to the Table
The ideal candidate will have experience with MediCal/Medicaid, Medicare AND commercial health insurance, such as one might acquire leading a hospital billing function or selling services to healthcare organizations. In addition to the qualifications detailed above, you'll need:
A bachelor's degree; we also will consider candidates with an equivalent combination of education and experience.
Proven client relationship/account management abilities with multi-million dollar accounts.
Demonstrated financial accountability, including developing and managing budgets and managing revenue performance.
Outstanding project management and analytical skills.
Superior attention to detail and strong verbal and written communication skills.
PC literacy and proficiency with MS Word, Excel, and PowerPoint.
The ability to work independently.
The professional polish and demeanor to present before high-level clients.
You also will need to be willing and able to travel 10% to 15% of the time within California, to our operations center in Irving, Texas, and to various regional and corporate events.
What's in It for You
Outstanding resources -- as you would expect, you'll have strong support from HMS' leadership, but that's just the beginning:
HMS has a well-established infrastructure to support you and your staff in the areas of technology, systems, marketing, operations, the procurement process, and more.
The Western Regional Vice President, to whom you will report, has deep experience and strong contacts in California.
You'll have a broad portfolio of products and services to offer; for example, we've recently added a full line of program integrity services. If you're the person we're looking for, you fully appreciate that program integrity is a hot topic now.
Autonomy and visibility -- we'll look to you to run these programs and build your market if this were your own business, setting and pursuing the future vision with an entrepreneurial spirit. Because of the strong revenue and even stronger potential in California, your successes will be noticed by our senior leadership.
Career development -- you will carve a potential career path for yourself as you help us expand the Western Region. We are committed to developing our people and promoting from within whenever possible. In fact, this position is open because the incumbent is pursuing a new opportunity within HMS.
A culture of growth and transition -- while we are growing strongly, we maintain the culture of a smaller company: employee input is welcome, and even new employees can make a visible impact in short order. Because of our growth we are looking for people with the initiative and resourcefulness to "take the ball and run with it." Excellence and innovation are highly valued.
Excellent compensation -- in addition to a competitive salary and bonus incentive program, we offer a comprehensive benefits package that includes all you would expect plus a few pleasant surprises, such as a 401(k) plan with generous employer match, flexible spending plans, and much more.
More About Your Role
If you're a good fit for this position, you already know most of what this job entails. However, to be sure we're providing a complete picture, here are some details.
You will divide your time between directing the two existing programs and pursing business development activities. The largest part of your time will go toward the programs:
A workers' compensation benefits coordination contract, which includes an Operations Manager who reports to you and supervises a team of ten here in Sacramento.
A health coverage overpayment identification and recovery contract, executed by our shared services team in Irving, TX.
The Operations Manager handles the majority of the day-to-day functions of the worker's comp program, although you will serve as a resource to that team, and your main operational focus will be on managing the client relationship and expectations for the revenue recovery program. With regard to sales and business development, you will pursue strategies to expand our current contracts and win new business at the state and local levels throughout California.
Your specific activities will include:
Assuming responsibility for all aspects of the contracts, including managing engagements and contract budgets.
Serving as the primary client interface with DHCS.
Ensuring a high level of client satisfaction.
Working with corporate operations staff to ensure key client deliverables and revenue goals are met.
Introducing, negotiating, and implementing new projects to expand the scope of the engagement.
Handling financial analysis and budget development.
Developing, creating, and presenting reports and other written communication to the client and internally.
Managing the activities of subcontractors, marketing partners, and lobbyists.
Keys to Success
To excel in this role you will acquire a solid knowledge of our products and services, and then combine that with your creativity and entrepreneurial drive to expand your market. You also will bring a "low key" charisma to building and growing relationships, presenting yourself as confident and knowledgeable without being overbearing. In addition, you'll need to be resourceful and willing to "roll up your sleeves" to ensure your ideas are implemented.
If this sounds like the right mix of challenge and opportunity for you, and you meet the minimum qualifications, we want to hear from you!
Who We Are
Health Management Systems has always been focused exclusively on the healthcare industry. In 1985, we began providing third party liability identification and recovery services to our first Medicaid agency client. Since then, we've partnered with more than 45 Medicaid agencies, other state health programs, and more than 50 government-sponsored healthcare plans to help them recover billions of dollars and save billions more through cost avoidance.
We take a proactive approach to growing our company, both organically and via mergers and acquisitions, to ensure we provide our clients with a broad offering of best-of-breed cost containment strategies to meet their financial and operational goals.
Opportunity Snapshot
If you are a business savvy leader with a drive to succeed and a knack for building strong relationships, this position offers you the opportunity to play a key role in high profile efforts to expand our business in California. While this state is already one of our highest revenue producers, there is still a great deal of business yet to be tapped. Health Management Systems (HMS) has posted 18% growth year over year since 2001 but we still maintain an entrepreneurial small-company culture in which individuals can make a difference and drive their own careers. As you help us expand the Western Region -- the region with the greatest potential for growth -- you will be in a position to take advantage of the "upward draft" of opportunity created by that growth.
You will assume leadership of two established programs contracted with California's Department of Health Care Services (DHCS), managing client relationships and overseeing operations, and also pursue new business opportunities. To be a good fit for this opportunity you will have significant management experience in Medicare, Medicaid, and/or commercial healthcare insurance claims, billing and/or collections, including a track record of success in direct client relationship/account management. You also will need solid sales and business development experience and a demonstrated ability to achieve targets on a consistent basis. We're looking for a "people person" with outstanding presentation skills.
Since 1985 HMS has focused exclusively on the healthcare industry; since then we have partnered with more than 45 Medicaid agencies, other state health programs, and more than 50 government-sponsored healthcare plans to help them recover billions of dollars, and save billions more through cost avoidance. Our portfolio of services, one of the broadest in the industry, includes coordination of benefits for Medicaid-Medicare, third-party liability, and pharmacy services; overpayment recovery; provider audits; medical support enforcement; and more.
What Else You'll Bring to the Table
The ideal candidate will have experience with MediCal/Medicaid, Medicare AND commercial health insurance, such as one might acquire leading a hospital billing function or selling services to healthcare organizations. In addition to the qualifications detailed above, you'll need:
A bachelor's degree; we also will consider candidates with an equivalent combination of education and experience.
Proven client relationship/account management abilities with multi-million dollar accounts.
Demonstrated financial accountability, including developing and managing budgets and managing revenue performance.
Outstanding project management and analytical skills.
Superior attention to detail and strong verbal and written communication skills.
PC literacy and proficiency with MS Word, Excel, and PowerPoint.
The ability to work independently.
The professional polish and demeanor to present before high-level clients.
You also will need to be willing and able to travel 10% to 15% of the time within California, to our operations center in Irving, Texas, and to various regional and corporate events.
What's in It for You
Outstanding resources -- as you would expect, you'll have strong support from HMS' leadership, but that's just the beginning:
HMS has a well-established infrastructure to support you and your staff in the areas of technology, systems, marketing, operations, the procurement process, and more.
The Western Regional Vice President, to whom you will report, has deep experience and strong contacts in California.
You'll have a broad portfolio of products and services to offer; for example, we've recently added a full line of program integrity services. If you're the person we're looking for, you fully appreciate that program integrity is a hot topic now.
Autonomy and visibility -- we'll look to you to run these programs and build your market if this were your own business, setting and pursuing the future vision with an entrepreneurial spirit. Because of the strong revenue and even stronger potential in California, your successes will be noticed by our senior leadership.
Career development -- you will carve a potential career path for yourself as you help us expand the Western Region. We are committed to developing our people and promoting from within whenever possible. In fact, this position is open because the incumbent is pursuing a new opportunity within HMS.
A culture of growth and transition -- while we are growing strongly, we maintain the culture of a smaller company: employee input is welcome, and even new employees can make a visible impact in short order. Because of our growth we are looking for people with the initiative and resourcefulness to "take the ball and run with it." Excellence and innovation are highly valued.
Excellent compensation -- in addition to a competitive salary and bonus incentive program, we offer a comprehensive benefits package that includes all you would expect plus a few pleasant surprises, such as a 401(k) plan with generous employer match, flexible spending plans, and much more.
More About Your Role
If you're a good fit for this position, you already know most of what this job entails. However, to be sure we're providing a complete picture, here are some details.
You will divide your time between directing the two existing programs and pursing business development activities. The largest part of your time will go toward the programs:
A workers' compensation benefits coordination contract, which includes an Operations Manager who reports to you and supervises a team of ten here in Sacramento.
A health coverage overpayment identification and recovery contract, executed by our shared services team in Irving, TX.
The Operations Manager handles the majority of the day-to-day functions of the worker's comp program, although you will serve as a resource to that team, and your main operational focus will be on managing the client relationship and expectations for the revenue recovery program. With regard to sales and business development, you will pursue strategies to expand our current contracts and win new business at the state and local levels throughout California.
Your specific activities will include:
Assuming responsibility for all aspects of the contracts, including managing engagements and contract budgets.
Serving as the primary client interface with DHCS.
Ensuring a high level of client satisfaction.
Working with corporate operations staff to ensure key client deliverables and revenue goals are met.
Introducing, negotiating, and implementing new projects to expand the scope of the engagement.
Handling financial analysis and budget development.
Developing, creating, and presenting reports and other written communication to the client and internally.
Managing the activities of subcontractors, marketing partners, and lobbyists.
Keys to Success
To excel in this role you will acquire a solid knowledge of our products and services, and then combine that with your creativity and entrepreneurial drive to expand your market. You also will bring a "low key" charisma to building and growing relationships, presenting yourself as confident and knowledgeable without being overbearing. In addition, you'll need to be resourceful and willing to "roll up your sleeves" to ensure your ideas are implemented.
If this sounds like the right mix of challenge and opportunity for you, and you meet the minimum qualifications, we want to hear from you!
Who We Are
Health Management Systems has always been focused exclusively on the healthcare industry. In 1985, we began providing third party liability identification and recovery services to our first Medicaid agency client. Since then, we've partnered with more than 45 Medicaid agencies, other state health programs, and more than 50 government-sponsored healthcare plans to help them recover billions of dollars and save billions more through cost avoidance.
We take a proactive approach to growing our company, both organically and via mergers and acquisitions, to ensure we provide our clients with a broad offering of best-of-breed cost containment strategies to meet their financial and operational goals.
HMS is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
