Overview
Under the general direction of the MassHealth Chief Medical Officer/Director of OCA, or designee, the Program Manager for MassHealth Equity and Quality Policy and Programs (EQPP) works directly with MassHealth Programs and Office of Clinical Affairs leadership to promote high quality, equitable care for MassHealth members.
Focus area for this position: This position has a focus on population health, quality, and equity performance improvement and internal and external reporting initiatives for MassHealth equity and quality programs.
Responsibilities
Health Equity and Quality Program Strategy and Design
Support, in partnership with MassHealth program teams, strategy and design of MassHealth health equity and quality for MassHealth plans and providers such as accountable care organizations, managed care organizations, Integrated Care plans, hospitals, and behavioral health providers.
Collaborate with and support leadership to develop program elements such as:
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 on agency-wide clinical priorities
Support MassHealth and OCA leadership to ensure that organization-wide equity and quality initiatives are aligned and advancing MassHealth strategic goals
Health Equity and Quality Program Implementation and Program Management
Manage, in partnership with MassHealth program teams, implementation of MassHealth equity/quality measurement and value-based purchasing programs for MassHealth plans and providers such accountable care organizations, managed care organizations, Integrated Care plans, hospitals, and behavioral health providers
Act as a subject matter expert on equity and quality measurement/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- and quality-related projects for MassHealth
Provide strategic input to and support for MassHealth program teams in designing and implementing equity and quality 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 and Quality Stakeholder Engagement and Communication
Support stakeholder engagement and education through activities such as regular office hours, stakeholder communications, and through other venues as assigned
Support relevant MassHealth program needs, including by preparing materials, managing activities, and being accountable for necessary follow-up activities
Support oversight of contracted vendors on MassHealth equity and quality measurement programs
Cross-Cutting Health Equity and Quality Initiatives
Serve as a subject matter expert for MassHealth quality and health equity measurement programs
Support design and implementation of cross-cutting quality and equity initiatives that impact multiple programs within MassHealth
Leadership/Management
Provide functional supervision of other specific project/program staff as needed.
Perform other duties as required.
To perform this job successfully, an individual must be able to perform each essential duty proficiently. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level
Master’s Degree or Equivalent in Health Care or Business Administration, Public Health, or a closely related field.
Experience
At least 2 years of experience
- Supporting health care quality and/or equity health measurement and performance programs
- Working in a MassHealth plan and/or provider organization related to the focus area for this position
- Excellent communication and presentation skills, both oral and written
Preferred Experience
Experience implementing health equity initiatives at a health care organization.
Experience with program evaluation
Job description provided by UMass Chan Medical School.
View the original posting
