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Job Details

Payment Reform Reporting Associate Program Manager

Company name
Executive Office of Health and Human Services

Location
Boston, MA, United States

Employment Type
Full-Time

Industry
Manager, Project Management, Nonprofit

Posted on
Jun 19, 2020

Valid Through
Oct 02, 2020

Apply for this job






Profile

Payment Reform Reporting Associate Program Manager','200004FL','!*!The Payment Reform Reporting team's mission is to provide MassHealth's 17 Accountable Care Organization (ACOs) with the data and metrics needed so they can best serve their members and manger their performance across finance, utilization, and population health. The team is positioned within the agency's larger payment and care delivery innovation team managing new models of accountable and coordinated care for patients, including the ACO, Community Partner, Flexible Services, and Statewide investment programs.The Associate Program Manager will support the on-going execution, design, improvements, and measure development for a set of reports that my include aggregate financial or utilization reports, member-level care coordination reports, risk score files, or raw claims files along with corresponding educational and technical assistance materials. In addition, they will support report analysis and interpretation to further MassHealth's understanding and pro-active management of ACO performance. This position works cross-functionally across internal finance, clinical, data, analytics, legal and policy teams as well as with external reporting vendors.The ideal candidate will have a background in health care management, health care policy, finance, public health, or data analytics. They will have a passion for improving health care under value-based plans, experience with project management, strong communication skills, experience with health care data or data analysis, a willingness to learn, and a drive to grow and own their own projects. This role will not be responsible for coding, running reports or doing claims-level or raw data analysis however, knowledge in these areas is beneficial. Opportunities for more hands-on analysis are available dependent on a candidate's areas of interest. Duties and Responsibilities (these duties are a general summary and not all inclusive):Coordinate

the on-going design and enhancement of a set of ACO reports to ensure they meet

ACO stakeholder and program needs, including but not limited to: Collect and synthesize internal and external feedback on reports through surveys, working sessions, and other touchpoints. Coordinate design meetings with MassHealth's report vendor, MassHealth developers and applicable MassHealth staff including setting agendas, tracking action items and decision, tracking timelines.Set enhancement priorities based on feasibility, scope, value, dependencies, and timeline.Support analytic vendors and MH developers in defining measure logic or data specifications in collaboration with MH data and analytic teamsMaintain documentation on suggested improvements, and update report business requirements in collaboration with MH data teamsProject manage the on-going production of ACO reports, including but not limited to:Create and maintain production timelines, identifying and escalating risks and coordinate with vendors and internal staff to ensure projects delivered on time.Coordinate internal review and QC of reports; surface any identified issues to report developers and seeing through to resolutionSupport Finance, ACO performance, and program teams to interpret reports and communicate with ACOs on their performance.Coordinate with Data Warehouse and program staff to ensure reports are uploaded and delivered to end-users on time.Create and manage external communications and user materials on reports including:Draft, disseminate, and maintain external-facing documentation and educational materials including user guides, data dictionaries, data value sets, PowerPoints and other summary-level information.Triage and answer ACO questions on the report contents, data sources, underlying analytic logic, etc.Lead other special projects, including but not limited to:Run analysis of reports to support on-going efforts to track ACO performance and engage ACOs in performance management conversations.Lead work stream with data privacy lawyers to ensure legal compliance of data and reporting enhancements.Coordinate with other program staff outside of PCDI, including OBH, OLTSS, Pharmacy, Analytics, DW, Finance, etc to ensure cross-agency alignment of ACO data and reporting strategy.Preferred Qualifications:Functional knowledge of claims, data, health care finance, health care management, and/or health care policy.Prior experience in project management and /or program management.Experience with data analytics, measure development, or coding.Outstanding listening and communications skills - both written and oral.Ability to build process flows and timelines with input from multiple stakeholders.Ability to manage work streams involving multiple cross functional teams.Excellent organizational skills with a particular focus upon managing details.Strong time management and analytical skills.Comfort with multitasking.Comfort with working under high pressure and tight time constraints.Background in healthcare management, healthcare finance, or health policy preferred.TO APPLY:Please upload both Resume and Cover Letter for this position when applying. First consideration will be given to those applicants that apply within the first 14 days.About MassHealth:MassHealth, the Commonwealth's Medicaid program, provides health care benefits to certain low and medium-income Massachusetts residents. As an innovative national leader, the Commonwealth's Medicaid program offers the opportunity to work with state-of-the-art technologies in a cutting-edge, fast-paced, call center environment. Selected applicants will have exceptional customer service, communications, and analytical skills. We offer a unique opportunity to serve, and to make a positive contribution to our members.The mission of MassHealth is to improve the health outcomes of our diverse members, their families and their communities by providing access to integrated health care services that sustainably promote health, well-being, independence and quality of life.For more information about our agency and programs please visit: www.mass.gov/masshealthTotal Compensation:As an employee of the Commonwealth of Massachusetts you are offered a great career opportunity influencing a wide-spectrum of services to the diverse populations we serve - bit it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits which you should consider towards your overall compensation, including:75% state paid medical insurance premiumReasonable Dental and Vision PlansFlexible Spending Account and Dependent Care Assistance programsLow cost basic and optional life insuranceRetirement Savings: State Employees' Pension and a Deferred Compensation 457 (b) plan11 paid holidays per year and competitive Sick, Vacation and Personal TimeTuition Benefit for employee and spouse at state colleges and universities Short-Term Disability and Extended Illness program participation optionsPre-Hire Process: A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori and click on Information for Job Applicants. Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines. Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website. For questions, please contact the Office of Human Resources at 1-800-510-4122 and select option #2. ','!*!MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) four (4) years of full-time or, equivalent part-time, professional, professional internship, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management or (B) any equivalent combination of the required experience and substitutions below.

Substitutions:

I. A certificate in a relevant or related field may be substituted for one (1) year of the required experience.

II. An Associate’s degree in a related field may be substituted for one (1) year of the required experience.

III. A Bachelor’s degree in a related field may be substituted for two (2) years of the required experience.

IV. A Graduate degree in a related field may be substituted for three (3) years of the required experience.

V. A Doctorate degree in a related field may be substituted for the required experience.

An Equal Opportunity / Affirmative Action Employer.  Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.','Administrator IV','Administrator IV','United States-Massachusetts-Boston-1 Ashburton Place','Administrative Services','Exec Office Of Health and Human Services','Full-time','Day','Jun 19, 2020','1','35,247.68','100,907.45','Yearly','Mark Wigfall','Mark Wigfall','617-348-8409','M99-Managers (EXE)','M99-Managers (EXE)','No','No','Payment Reform Reporting Associate Program Manager

Company info

Executive Office of Health and Human Services
Website : http://www.mass.gov/eohhs/

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