Business Manager - Care Coordination (64172)

University Settlement partners with 40,000+ New Yorkers in Lower Manhattan and Brooklyn every year to build on our collective strengths as we achieve healthy, stable, and remarkable lives. For nearly 140 years, we’ve fought poverty and systemic inequality by building highly effective social services in collaboration with our neighbors. Established in 1886 as the first Settlement House in the United States, we bring the values of that movement into the 21st century by meeting New Yorkers where they live, listening deeply to all perspectives, and creating space for responsive cooperation.

Joining with our neighbors to make stable foundations where people of all ages can grow and pursue their dreams, we build community strength. We infuse a commitment to civic engagement, equality, and communal action into each of our programs, which include early childhood education, youth development, healthy aging, mental health and wellness, English classes for adult immigrants, community centers, and the arts.

The Business Manager is responsible for overseeing the administrative, operational, compliance, and revenue-support functions of the Care Coordination program. This position partners closely with program leadership, Finance, and Care Coordination staff to ensure efficient program operations, regulatory compliance, quality service delivery, and accurate billing and revenue management. The Business Manager utilizes data analysis, process improvement strategies, and cross-functional collaboration to enhance program performance, support staff productivity, maintain compliance with Medicaid and Health Home requirements, and contribute to the overall success of the program.

Responsibilities:

• Collaborate with program leadership, Finance, and Care Coordination teams to establish and monitor key performance indicators (KPIs) and operational goals.
• Support leadership and staff in identifying operational challenges, establishing priorities, implementing process improvements, and resolving revenue cycle and program-related issues.
• Ensure all 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 to track program performance, accounts receivable aging, claims activity, enrollment trends, and productivity measures.
• Work closely with the Finance Department to ensure accurate and timely claims submission, reconciliation, revenue tracking, and follow-up on denied or outstanding claims.
• Conduct monthly claims reviews and reconciliation activities to ensure billing accuracy, compliance, and timely reimbursement.
• Serve as a liaison between the Care Coordination program and the Finance Department regarding billing, revenue, and operational matters.
• Oversee patient enrollment and eligibility processes for Medicaid and other entitlement programs.
• Monitor and oversee central intake and referral processes, including case assignments, workload distribution, access to services, and operational efficiency.
• Identify and cultivate new community partnerships and referral sources to support program growth and enrollment.
• Build and maintain effective 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, federal, Medicaid, and Health Home regulations and reporting requirements.
• Oversee administrative office operations, including coordination of office equipment, supplies, vendors, and workspace needs in partnership with IT, Facilities, and Finance.
• Attend and actively 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

Qualifications

• Bachelor’s degree in healthcare administration, Business Administration, Public Administration, Social Services, or a related field required.
• Minimum of three (3) years of progressively responsible experience in healthcare operations, care coordination, program administration, revenue cycle management, or a related healthcare setting.
• Master’s degree in business administration (MBA), Public Administration (MPA), Healthcare Administration, or a related field preferred.
• Demonstrated experience with Medicaid billing, revenue cycle operations, claims management, and regulatory compliance.
• Strong knowledge of Centers for Medicare & Medicaid Services (CMS), 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 (EHR) systems and business applications, including Foothold, Microsoft Office Suite (Excel, Word, PowerPoint, Outlook), and billing or clearinghouse systems.
• Proven leadership skills with the ability to supervise, coach, and collaborate effectively with multidisciplinary teams.
• Strong project management, organizational, and time management skills with the ability to prioritize competing demands and meet deadlines.
• Excellent analytical, critical thinking, decision-making, and problem-solving abilities.
• Exceptional interpersonal, customer service, and relationship-building skills.
• Strong written and verbal communication skills, with 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.
• Demonstrated ability to thrive in a fast-paced, mission-driven healthcare or social services environment.
• Commitment to equity, quality improvement, compliance, and delivering excellent service to clients, staff, and community partners

Work Schedule: Full time, Monday - Friday, 9:00am - 5:00pm, 35 hours per week

We are committed to building a diverse and inclusive community. We support a broadly diverse team who will contribute to our organization. We are an equal opportunity employer for all regardless of race, color, citizenship, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, veteran or reservist status, or any other category protected by federal, state, or local law.