Program Manager, MassHealth Equity Program

Website UMass Chan Medical School

Under the general direction of the MassHealth Chief Medical Officer, or designee, the Program Manager for MassHealth Health Equity Programs works directly with MassHealth Program and Office of Clinical Affairs leadership to manage health equity measurement and value-based care initiatives for MassHealth programs.

Health Equity Program Strategy and Design

  • Collaborate with the MassHealth Chief Medical Officer, or designee, the MassHealth Quality Office, and MassHealth program teams (including the Offices of Payment and Care Delivery Innovation and Provider and Pharmacy Programs) on strategy and design of MassHealth health equity measurement and value-based care programs including for accountable care organizations and acute hospitals. Collaborate with leadership to develop program elements including:
    • Selection of quality and health equity measures
    • Setting of performance targets
    • Establishing and testing performance assessment methodologies
    • Iterating on program design
    • Reporting
    • Evaluation
    • Performance Management
  • Support MassHealth and OCA leadership to ensure that organization-wide equity initiatives are aligned and advancing MassHealth strategic goals

Health Equity Program Implementation and Program Management

  • Manage health equity programs, including incentive programs for accountable care organizations and/or acute hospitals
  • Act as a subject matter expert on equity measurement and equity improvement, including by maintaining current knowledge of major national quality and equity initiatives
  • Support program evaluation and monitoring
  • Oversee and/or support related vendor procurement, contracting, and vendor management
  • Maintain and update relevant contractual and regulatory documents
  • Establish and maintain linkages within OCA and MassHealth to support equity-related projects for MassHealth
  • Provide strategic input to and support for MassHealth program teams in designing and implementing equity improvement activities for MassHealth providers
  • Manage day-to-day logistics and operational needs of the program, including but not limited to project management, convening, and materials preparation to ensure timely and complete deliverables and to meet internal and external requirements
  • Monitor and support compliance with federal and state regulations and other requirements.

Health Equity Stakeholder Engagement

  • At the direction of the Chief Medical Officer or designee, represent MassHealth and OCA at the state, regional and national levels (research planning, scientific study groups, conferences, and committees).
    Cross-Cutting Quality Initiatives
  • Collaborate with a staff of individuals who provide direct support to MassHealth Programs and conduct the activities of the MassHealth Quality Office.
  • Hire, advise and directly supervise and evaluate performance of other staff, as applicable. Provide functional supervision of other specific project/program staff as needed
  • Review and monitor compliance with the federal and state regulations.

REQUIRED WORK EXPERIENCE

  • 2-4 years’ Experience with health care quality and/or measurement and performance programs
  • Experience with acute hospital and/or accountable care organization quality measurement
  • Project management experience
  • Excellent communication and presentation skills, both oral and written

PREFERRED EDUCATION

  • Bachelor’s degree or equivalent Preferably in field related to Health Care or Business Administration, Public Health, or a quality related health care field.

To apply for this job please visit www.ummsjobs.com.