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Program Manager, Fee for Service
3 months ago
Department:
Health and Wellness
Location:
HALIFAX
Type of Employment:
Permanent
Union Status:
Exclusion - Non Union - NSPG
Closing Date:24-Nov-23 (Applications are accepted until 11:59 PM Atlantic Time)
About Us:
The Department of Health and Wellness offers opportunities to grow and advance in a dynamic sector that touches the lives of all Nova Scotians.
Along with our partners, including Nova Scotia Health and the IWK Health Centre, we are committed to continually improving our health care system.
With a focus on collaborative primary health care, continuing care, improved supports for mental health and addictions, digital health, capital infrastructure, and more, the department is thinking differently about how to plan, fund, legislate and monitor to improve access and service delivery.
To do this, we need leaders at all levels of the organization who embrace a challenge and believe in their ability to make a difference.
About Our Opportunity:
An exciting opportunity exists to join the Department of Health and Wellness as a Program Manager, Fee for Service (FFS), within our Physician Services group.
In this position, the Program Manager is the departmental lead for all FFS programs, payment and billings systems for physician compensation.
Specific responsibilities include but are not limited to day-to-day budget and expenditure management, fee code reviews and physician audits, support and direction to the Fee Committee, the analysis of billing trends, patterns and code-specific FFS costing, liaison with Medavie/MSI on issues/processes related to payments, audits and appeals.
The Program Manager is responsible for the planning, development, management and budgeting of the FFS portfolio with a budget exceeding $300 million.
Primary Accountabilities:
As Program Manager, FFS your role carries specific accountabilities, which include the management of FFS programs, payment and billing systems.
Key accountabilities include:
- Overseeing and coordinating all aspects related to FeeforService programs, payments, and billings.
- Managing the daytoday budget and expenditure activities within the department, ensuring effective allocation of financial resources within budgetary parameters.
- Serving as a point of contact and communication between the department and Medavie/MSI and other stakeholders, addressing issues and processes related to payments,, insured services, audits, and appeals. This may involve resolving payment discrepancies, clarifying billing procedures, and addressing concerns from healthcare providers.
- Planning, implementing and measuring accountability frameworks to ensure standards are met in line with the Act(s) and negotiated agreements.
- Identifying shortcomings, suggesting improvements and implementing approved revisions to current processes, systems and procedures related to FFS physician compensation.
- Contributing to the audit plan physician billing practices to verify accuracy and compliance with established fee schedules and regulations.
- Collaborating with peers within/outside the Branch on health system initiatives, new fee requests, operational processes, business planning, etc.
Qualifications and Experience:
To be successful in this role, you have experience in a leadership capacity, have evaluated financial programs and are familiar with contractual language.
Broad knowledge of health services, policies, programs, and legislation (e.g., Health Authorities Act, Heath Services and Insurance Act) would be an asset.
Strong organizational and project/program management skills are required in this fast pace, high profile Branch.These positions work under tight time constraints and competing priorities, therefore the ability to manage a diverse number of programs, tasks and staff requiring ongoing planning/monitoring/implementing will be key to your success.
You also possess sound judgment when making decisions and have strong relationship building and verbal/written communication skills. You will be proficient at engaging your team/stakeholders and influencing others to build support.Please follow LEADS ) for more information.
We will assess the above qualifications and competencies using one or more of the following tools: written examination, standardized tests, oral presentations, interview(s), and reference checks.
Equivalency:
Include, but not limited to:
An equivalent combination of related training and experience may be accepted in place of education requirements
Benefits:
Based on the employment status and Union agreement, the Government of Nova Scotia offers its employees a wide range of benefits such as Health, Dental, Life Insurance, Pension, General Illness (Short and Long Term), Vacation and Employee and Family Assistance Programs.
