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Sr Program Manager, MassHealth Health Equity Programs (Hybrid - Boston)

Job Details

Overview

JOB SUMMARY:

Under the general direction of the MassHealth Chief Medical Officer/Director of OCA, or designee, the Senior Program Manager for MassHealth Health Equity Programs works directly with MassHealth Program and Office of Clinical Affairs leadership in the development and implementation of a cohesive approach to measuring and incentivizing health equity for MassHealth members.

Responsibilities

ESSENTIAL FUNCTIONS:

Health Equity Program Strategy, Design and Communication:

  • Lead, in partnership with MassHealth program teams, strategy and design of health equity programs including for accountable care organizations and acute hospitals
  • Lead, in partnership with MassHealth program teams, programmatic strategy and design including related to:
    • 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
  • Together with MassHealth Quality Office leaders, contribute to the development and ongoing maintenance of the MassHealth Quality Strategy
  • Regularly report to OCA leadership and staff (and other entities, at OCA leadership direction) on the status of MassHealth quality and health equity measurement programs and progress towards quality and health equity priorities.
  • Support internal and external communications planning ensuring that key stakeholders are included and well informed, including providing expertise to internal workgroups

Health Equity Program Implementation and Monitoring:

  • Lead, in partnership with MassHealth program teams, implementation of MassHealth health equity measurement and value-based purchasing programs including for accountable care organizations and acute hospitals
  • Monitor and analyze health equity measurement program performance
  • Monitor, analyze, and report on health equity measure performance
  • Lead and/or support MassHealth program teams in developing and implementing health equity performance management activities
  • Lead performance remediation activities, as applicable
  • Manage necessary health equity analytics resources to support MassHealth health equity program functions, including by coordinating and overseeing inputs from OCA and MassHealth data and analytics staff

Health Equity Stakeholder Engagement:

  • Lead stakeholder engagement and education activities with external stakeholders (including providers, health system representatives, federal authorities including CMS, members, and other stakeholders) through activities such as leading regular office hours, maintaining stakeholder requests, and through other venues as assigned
  • Manage negotiations with CMS, as needed, to support continued authority for quality and health equity measurement programs
  • Lead and/or support relevant MassHealth program advisory groups, including by preparing materials, managing activities, and being accountable for necessary follow-up activities
  • Engage and oversee contracted vendors, as appropriate, on MassHealth quality and health equity measurement program-specific deliverables

Cross-Cutting Quality Initiatives:

  • Serve as a subject matter expert for MassHealth quality and health equity measurement programs
  • Contribute to design and implementation of cross-cutting quality and equity initiatives that impact multiple programs within MassHealth
  • Hire, advise and directly supervise and evaluate performance of other staff. Provide functional supervision of other specific project/program staff as needed. Serve as a Health Equity management expert, building infrastructure to support the enrichment and professional development of the new team.Review and monitor compliance with the federal and state regulations.
  • Perform other duties as required.

 

Qualifications

REQUIRED QUALIFICATIONS:

  • Masters Degree in Health Care or Business Administration, Public Health, or a quality related health care field.
  • 4-7 years experience leading/implementing health care quality and/or equity measurement and performance programs
  • Experience with accountable care organization and/or acute hospital quality measurement
  • Experience in a recent management/supervisory role
  • Excellent communication and presentation skills, both oral and written, to interact with leadership, staff, providers and other stakeholders.

PREFERRED QUALIFICATIONS:

  • Experience with Medicaid quality measurement programs
  • Experience with health equity measurement
  • Experience with quality measure development
  • Quality analytics experience, including use of Medicaid claims data
  • Flexibility and ability to thrive in a fast-paced, dynamic environment.
Additional Information#LI-VG1 

Organization

Realize Your Opportunities – A Career at UMASS Medical School

Inside Workings at UMASS Medical School

The University of Massachusetts Medical School (UMMS), the Commonwealth's only public medical school, is proud of our role in serving the people of Massachusetts. Although, its the inside workings of UMMS that makes the difference.

Mission and Culture

  • We’re serious about our mission and about our people. 
  • Real World Impact - Our people get excited about our mission of real-world impact in health sciences education, research and public service.
  • International Prominence and New Opportunities - As this institution has grown to national – and international – prominence, we’ve found new opportunities to train tomorrow’s physicians, nurses and scientists,  discover causes of and cures for disease and help improve the quality of health care.
  • Deep Commitment - With our clinical partner, UMass Memorial Health Care, and our other teaching affiliates, we share a deep commitment to national distinction in patient care.
  • Valued Partnerships – UMMS partners with Commonwealth Medicine, the health care consulting arm of UMMS. Also, UMMS partners with MassBiologics in scientific collaborations, technology management and creating partnerships for the development of products for the benefit of patients.  These valued partnerships help us to provide services and programs to help meet our needs at UMMS and the public.
  • Proud Contributors - People at UMMS enjoy the feeling of going to work every day knowing what they do is truly important and worthwhile.
  • Complementary and Inseparable - These varied parts of our mission and culture are complementary and inseparable.                 

Careers

UMMS, the state’s first and only public academic health sciences center, educates physicians, scientists and advanced practice nurses to heal, discover, teach and care, with compassion.  UMMS is a world-class institution with opportunities to match. 

Competitive Compensation – UMMS offers salaries that are competitive with Worcester-area employers. When combined with our generous benefits, perks, and paid time off, many job seekers are surprised to find a total rewards package that matches or exceeds their current situation.

Targeted Hiring Process – At UMMS, there are actually multiple hiring processes for different segments of our workforce.  In nearly all cases, UMMS hiring process is decentralized, with qualified candidates screened and referred to an academic officer or manager with hiring authority.

24/7 Access to Employment Opportunities – iCIMS is our online job search and application system.  iCIMS is available 24/7 to provide you with a convenient and up-to-date view of the available employment opportunities across our campuses. Updates are made daily and include all faculty and non-faculty position listings from every school and department within the UMMS. When you identify a position you are interested in and qualified for, apply online. New opportunities become available frequently so it pays to check back often!

Benefits

With outstanding benefits, competitive pay, extensive learning opportunities, and a stimulating and attractive work environment, UMMS may be exactly the employer you’ve been looking for.

• Superior Benefits - UMMS offers a wide range of benefits and perks that invite comparison with the best employers in the Worcester area – and with academic institutions anywhere. UMMS provides superior medical and dental coverage for you and your family, fully funded retirement plans, generous time off, a Tuition Assistance Plan – and much more.

• People Centered - UMMS is an employer, but it is also a community. Its comprehensive medical and dental benefits, retirement plans, and even paid holidays reflect an institution built around people, with a deep respect for their differences and needs.

• Commitment to Healthy Living - UMMS provides resources to help you balance work and life and encourages healthy living through great programs and discounts for fitness, physical activity, weight management, nutritional counseling and general wellness available through our health insurance plans.

• Breadth of Offerings - Above all, the breadth of UMMS offerings set the School apart and makes it an environment favored by all sorts of smart, career-savvy people.

Apply for a Job

As an equal opportunity and affirmative action employer, UMMS recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds.

Online - To view all job opportunities and apply online, visit www.umassmed.edu/hr and click on the “Careers” tab.

Start Now and Realize Your Opportunities!

A History of Making Vital Improvements - UMASS Medical School Milestones

1962: Legislation establishes University of Massachusetts Medical School
1970: First medical students begin classes in Shaw Building
1974: First class graduates 16 MDs
1979: PhD program begins
1986: Graduate School of Nursing opens
1986: PhD program becomes Graduate School of Biomedical Sciences
1994: Graduate School of Nursing initiates PhD program
1998: UMass Clinical System and Memorial Health Care merge to form UMass Memorial Health Care
2001: Lazare Research Building opens
2002: Campus Modernization begins on the University Campus
2004: Graduate Entry Pathway Program established at the Graduate School of Nursing
2005: PhD Program in Clinical & Population Health Research established at the Graduate School of Biomedical Sciences
2005: Massachusetts Biologic Laboratories opens new manufacturing and filling facility in Mattapan
2006: Craig Mello, PhD, Blais University Chair in Molecular Medicine and Howard Hughes Medical Institute Investigator, is awarded the Medical School's first Nobel Prize. Dr. Mello shared the 2006 Nobel Prize in Physiology or Medicine with Andrew Fire, PhD, of Stanford University, for their discoveries related to RNA interference.
2007: Michael F. Collins, MD, is named chancellor and Terence R. Flotte, MD, is named dean of the School of Medicine.  
2009: Groundbreaking for the Albert Sherman Center, a 500,000-square-foot research and education facility slated for completion in 2012.
2010: Ambulatory Care Center opens
2012: The Albert Sherman Center, a 500,000-square-foot research and education facility, completed and opens

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