Business Manager - Care Coordination (64172)

University Settlement Society Of New York•New York, NY

About The Position

The Business Manager oversees the administrative, operational, compliance, and revenue-support functions of University Settlement’s Care Coordination program. The role works closely with program leadership, Finance, and Care Coordination staff to promote efficient operations, regulatory compliance, quality service delivery, and accurate billing and revenue management. It uses data analysis, process improvement, and cross-functional collaboration to improve program performance, support staff productivity, maintain compliance with Medicaid and Health Home requirements, and contribute to the program’s overall success. The position also oversees enrollment and eligibility processes, intake and referral operations, office administration, and relationships with external partners. It prepares performance reports, participates in evaluation and quality improvement, and may maintain a reduced caseload when necessary to support operations and service delivery. The role reports to the Director.

Requirements

Bachelor’s degree in healthcare administration, business administration, public administration, social services, or a related field.
At least three years of progressively responsible experience in healthcare operations, care coordination, program administration, revenue cycle management, or a related healthcare setting.
Demonstrated experience with Medicaid billing, revenue-cycle operations, claims management, and regulatory compliance.
Strong knowledge of Centers for Medicare & Medicaid Services (CMS) requirements, New York State Medicaid requirements, Health Home regulations, and healthcare reimbursement practices.
Experience analyzing operational, financial, and program-performance data to identify trends, develop solutions, and improve outcomes.
Proficiency with electronic health record systems and business applications, including Foothold, Microsoft Office Suite (Excel, Word, PowerPoint, Outlook), and billing or clearinghouse systems.
Leadership skills and the ability to supervise, coach, and collaborate effectively with multidisciplinary teams.
Strong project management, organizational, and time-management skills, including the ability to prioritize competing demands and meet deadlines.
Excellent analytical, critical-thinking, decision-making, and problem-solving abilities.
Strong interpersonal, customer-service, and relationship-building skills.
Strong written and verbal communication skills, including the ability to prepare reports, presentations, and correspondence for diverse audiences.
Ability to work independently, exercise sound judgment, and maintain confidentiality while managing sensitive information.
Ability to thrive in a fast-paced, mission-driven healthcare or social services environment.
Commitment to equity, quality improvement, compliance, and excellent service to clients, staff, and community partners.

Nice To Haves

Master’s degree in business administration (MBA), public administration (MPA), healthcare administration, or a related field.

Responsibilities

Collaborate with program leadership, Finance, and Care Coordination teams to establish and monitor key performance indicators and operational goals.
Support leadership and staff in identifying operational challenges, setting priorities, implementing process improvements, and resolving revenue-cycle and program-related issues.
Ensure required staff training is completed and maintain training records, certifications, and documentation related to Health Home operations, Medicaid compliance, and organizational requirements.
Monitor and analyze operational and financial data, including program performance, accounts receivable aging, claims activity, enrollment trends, and productivity measures.
Work with Finance to support accurate and timely claims submission, reconciliation, revenue tracking, and follow-up on denied or outstanding claims.
Conduct monthly claims reviews and reconciliation to support billing accuracy, compliance, and timely reimbursement.
Serve as the liaison between Care Coordination and Finance on billing, revenue, and operational matters.
Oversee patient enrollment and eligibility processes for Medicaid and other entitlement programs.
Monitor central intake and referral processes, including case assignments, workload distribution, access to services, and operational efficiency.
Identify and cultivate community partnerships and referral sources to support program growth and enrollment.
Build and maintain working relationships with Health Home Administrators, managed care organizations, regulatory agencies, internal stakeholders, and community partners.
Participate in program evaluation, quality improvement initiatives, and program expansion efforts.
Prepare and present monthly, quarterly, and annual reports for leadership, board meetings, funders, staff meetings, and other stakeholders.
Ensure compliance with city, state, and federal requirements, including Medicaid and Health Home regulations and reporting requirements.
Oversee administrative office operations, including coordination of equipment, supplies, vendors, and workspace needs in partnership with IT, Facilities, and Finance.
Attend and participate in meetings, trainings, workshops, conferences, and community events as required.
Maintain a reduced caseload when necessary to support program operations and service delivery.
Perform additional duties and special projects as assigned by the Director.