Program Manager, MassHealth Equity Program - OCA

Under the general direction of the Mass Health Chief Medical Officer/Director of OCA, or designee, the Program Manager for Mass Health Equity and Quality Policy and Programs (EQPP) works directly with Mass Health Programs and Office of Clinical Affairs leadership to promote high quality, equitable care for Mass Health members.

Focus area for this position
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This position has a focus on population health, quality, and equity performance improvement and internal and external reporting initiatives for Mass Health equity and quality programs.

Responsibilities

Health Equity and Quality Program Strategy and Design

• Support, in partnership with Mass Health program teams, strategy and design of Mass Health health equity and quality for Mass Health 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 Mass Health and OCA leadership to ensure that organization-wide equity and quality initiatives are aligned and advancing Mass Health strategic goals

Health Equity and Quality Program Implementation and Program Management

• Manage, in partnership with Mass Health program teams, implementation of Mass Health equity/quality measurement and value-based purchasing programs for Mass Health 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 Mass Health to support equity- and quality-related projects for Mass Health
• Provide strategic input to and support for Mass Health program teams in designing and implementing equity and quality improvement activities for Mass Health 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 Mass Health program needs, including by preparing materials, managing activities, and being accountable for necessary follow-up activities
• Support oversight of contracted vendors on Mass Health equity and quality measurement programs

Cross-Cutting Health Equity and Quality Initiatives

• Serve as a subject matter expert for Mass Health quality and health equity measurement programs
• Support design and implementation of cross-cutting quality and equity initiatives that impact multiple programs within Mass Health

Leadership/Management

Provide functional supervision of other specific project/program staff as needed.

Perform other duties as required.

Qualifications

To perform this job successfully, an individual must be able to perform…