ForHealth Consulting at UMass Chan Medical School · 1 day ago
Sr Program Manager, MassHealth Health Equity Programs
North Quincy, MA
Full-time
Onsite
Mid, Senior Level
4+ years expForHealth Consulting at UMass Chan Medical School is seeking a Senior Program Manager for MassHealth Health Equity Programs. This role involves developing and implementing strategies to measure and incentivize health equity for MassHealth members, while collaborating with various stakeholders to enhance program performance and stakeholder engagement.
Management Consulting
Responsibilities
Lead, in partnership with MassHealth program teams, strategy and design of health equity programs including for accountable care organizations and acute hospitals
Lead, in partnership with MassHealth program teams, programmatic strategy and design including related to:
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
Together with MassHealth Quality Office leaders, contribute to the development and ongoing maintenance of the MassHealth Quality Strategy
Regularly report to OCA leadership and staff (and other entities, at OCA leadership direction) on the status of MassHealth quality and health equity measurement programs and progress towards quality and health equity priorities
Support internal and external communications planning ensuring that key stakeholders are included and well informed, including providing expertise to internal workgroups
Lead, in partnership with MassHealth program teams, implementation of MassHealth health equity measurement and value-based purchasing programs including for accountable care organizations and acute hospitals
Monitor and analyze health equity measurement program performance
Monitor, analyze, and report on health equity measure performance
Lead and/or support MassHealth program teams in developing and implementing health equity performance management activities
Lead performance remediation activities, as applicable
Manage necessary health equity analytics resources to support MassHealth health equity program functions, including by coordinating and overseeing inputs from OCA and MassHealth data and analytics staff
Lead stakeholder engagement and education activities with external stakeholders (including providers, health system representatives, federal authorities including CMS, members, and other stakeholders) through activities such as leading regular office hours, maintaining stakeholder requests, and through other venues as assigned
Manage negotiations with CMS, as needed, to support continued authority for quality and health equity measurement programs
Lead and/or support relevant MassHealth program advisory groups, including by preparing materials, managing activities, and being accountable for necessary follow-up activities
Engage and oversee contracted vendors, as appropriate, on MassHealth quality and health equity measurement program-specific deliverables
Serve as a subject matter expert for MassHealth quality and health equity measurement programs
Contribute to design and implementation of cross-cutting quality and equity initiatives that impact multiple programs within MassHealth
Hire, advise and directly supervise and evaluate performance of other staff. Provide functional supervision of other specific project/program staff as needed. Serve as a Health Equity management expert, building infrastructure to support the enrichment and professional development of the new team. Review and monitor compliance with the federal and state regulations
Perform other duties as required
Qualification
Required
Masters Degree in Health Care or Business Administration, Public Health, or a quality related health care field
4-7 years experience leading/implementing health care quality and/or equity measurement and performance programs
Experience with accountable care organization and/or acute hospital quality measurement
Experience in a recent management/supervisory role
Excellent communication and presentation skills, both oral and written, to interact with leadership, staff, providers and other stakeholders
Preferred
Experience with Medicaid quality measurement programs
Experience with health equity measurement
Experience with quality measure development
Quality analytics experience, including use of Medicaid claims data
Flexibility and ability to thrive in a fast-paced, dynamic environment
Company
ForHealth Consulting at UMass Chan Medical School
ForHealth Consulting partners with purposeful organizations, including state Medicaid agencies and health and human services organizations, to make the healthcare experience better for all – more equitable, effective, and accessible.
501-1000 employees
H1B Sponsorship
ForHealth Consulting at UMass Chan Medical School has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (118)
2024 (103)
2023 (105)
2022 (115)
2021 (2)
Funding
Current Stage
Late StageLeadership Team
Carly Gould
Senior Human Resources Business Partner
Jatin Dave
Chief Medical Officer, MassHealth
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