Director, Clinical Data Analytics & Performance

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Director, Clinical Data Analytics & Performance Job Number:
Category: Executive
Location:
North Quincy, MA
Shift: Day
Exempt/Non-Exempt: Exempt
Business Unit: For Health Consulting
Department: For Health Consulting - Office Of Clinical Affairs - W401300
Job Type: Full-Time
Salary Grade: 47
Union Code: Non Union Position
-W60
- Non Unit Professional
Num. Openings: 1
Post Date:
July 29, 2025

Under the direction of the Chief Medical Officer/Director of the Office of Clinical Affairs (OCA), or their designee, the Director of Clinical Data, Analytics, and Performance will oversee a broad portfolio of clinical data and analytics strategy, Mass Health plan and provider clinical performance management, and internal and external reporting. This will include policy and strategy development, oversight and accountability for performance managing Mass Healths plans and providers to improve health care outcomes, and internally and externally communicating clinical performance data related to Mass Healths plans and providers.

Clinical Data and Analytics

• Provide strategic leadership for and oversight of OCAs clinical data strategy functions, including working across Mass Health teams to ensure data used to calculate clinical performance metrics used for value-based care programs are sufficient and accurate.
• Independently identify and resolve data quality/integrity issues impacting clinical measurement, including through demonstration of strong cross-functional management and problem-solving skills
• Lead clinical data strategy related to the evolution from hybrid quality measurement to electronic quality measurement
• Provide strategic leadership for and oversight of OCAs clinical analytics functions, including related to analysis of quality, equity, and population health performance data to inform Mass Health clinical policy and programs.
• Lead analyses to answer clinical questions using relevant clinical data sources (e.g., Medicaid and Medicare encounter data, Medicaid claims data, supplemental clinical data); demonstrate knowledge of specific skills/tools or approaches to best implement various analyses

Clinical Performance and Reporting

• Development and oversight of the Office of Clinical Affairs clinical performance management strategy, leading cross-functional efforts to consolidate a comprehensive, enterprise-level view of Mass Health plan/provider clinical performance (as determined by quality measure performance, equity measure performance, population health metric performance, and/or other clinical metrics) to include:
  • routine monitoring and reporting of clinical performance measures;
  • identification of priority areas of clinical performance management for Mass Health, in collaboration with other OCA and Mass Health leaders;
  • oversight of planning for and implementation of high-impact engagements with plans/providers on their clinical performance;
  • Aligning and coordinating clinical performance management activities with other Mass Health teams
• Oversee the development and implementation of OCAs clinical data reporting strategy, ensuring internal and external reports are aligned with regulatory requirements, internal performance priorities, deliver actionable insights, and are user-friendly and responsive for plan staff and leadership; ensure reporting strategy meets relevant regulatory or other requirements

Leadership

• Serve as a senior leader of the Office of Clinical Affairs, including a role on the OCA leadership team, leading strategic planning efforts, cross-Office team support and coordination, and focusing on integration across teams and work streams to develop integrated and aligned strategy and team culture
• Serve as a lead interface for OCA for clinical data, analytics, performance & reporting with other teams throughout the agency including the Data and Analytics team, the Data Warehouse, the Accountable Care and Behavioral Health team, the Provider, Family, and Safety Net team, and the Office of Long-Term Supports and Services team to align data…