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Job Details

Payment Reform Reporting Program Manager

Company name
Executive Office of Health and Human Services

Boston, MA, United States

Employment Type

Manager, Project Management, Nonprofit

Posted on
Jun 16, 2020

Valid Through
Sep 29, 2020

Apply for this job


Payment Reform Reporting Program Manager','200004FF','!*!

The Payment Reform Reporting team’s mission

is to provide MassHealth’s

17 Accountable Care Organizations (ACOs) with the data and metrics needed so they can best serve

their members and manage

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.  


This Program Manager

will be responsible for the on-going execution, design, improvements, and

measure development for a set of reports that may 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 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.



and Responsibilities (these duties are a general summary and not all inclusive:


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:


and synthesize internal and external feedback on reports through surveys,

working sessions, and other touchpoints


design meetings with MassHealth’s report vendor, MassHealth developers and

applicable MassHealth staff including setting agendas, tracking action

items and decisions, tracking timelines


enhancement priorities based on feasibility, scope, value, dependencies,

and timeline


analytic vendors and MH developers in defining measure logic or data

specifications in collaboration with MH data and analytic teams

Maintain documentation on suggested improvements, and update

report business requirements in collaboration with MH data teams


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



internal review and QC of reports; surface any identified issues to report

developers and seeing through to resolution


Finance, ACO performance, and program teams to interpret reports and

communicate with ACOs on their performance


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:


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.


other special projects, including but not limited to:


analysis off 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 on ACO data and reporting


Preferred Qualifications:


knowledge of claims data, health care finance, health care management, and/or

health care policy


experience in project management and/or program management.Experience

with data analytics, measure development, or codingOutstanding

listening and communication 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.


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 MasHealth:


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.



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:




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 - but 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 options Pre-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 and click on Information for Job Applicants. As part of the hiring process, the Office of Human Resources will be verifying any college-level degrees conferred to the selected candidate. Additionally, any licensure required for the position will be verified. Information provided as part of the hiring process is subject to the Massachusetts Public Record Law and may be published on the Commonwealth’s website. 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 Executive Office of Health and Human Services 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.


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 16, 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 Program Manager

Company info

Executive Office of Health and Human Services
Website :

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