"Program Manager, MassHealth Quality (Hybrid)"

Job Details

Overview

POSITION SUMMARY:

Under the general direction of the Director of the MassHealth Quality Office (MQO) in the Office of Clinical Affairs (OCA), or designee, the Quality Program Manager is responsible for managing quality-related activities for MassHealth quality programs.

Responsibilities

ESSENTIAL FUNCTIONS:

Quality Program Strategy and Design:

• Collaborate with the Director, or designee, and MassHealth program teams (including the MassHealth Office of Behavioral Health, the MassHealth Office of Long-Term Services and Supports, the MassHealth Office of Provider and Pharmacy Programs, and or the MassHealth Payment and Care Delivery Innovation team) on development of strategy and design of quality programs including for behavioral health providers, Integrated Care Programs, and acute hospitals. Collaborate with MQO leadership and MassHealth program teams to develop program elements including:
• Selection of quality and health equity measures
• Setting of performance targets
• Establishing and testing performance assessment methodologies
• Maintaining and updating contractual and regulatory documents to accurately reflect quality program design
• Work with MassHealth, MQO, and OCA to ensure that organization-wide quality initiatives are aligned and advancing MassHealth quality strategic goals

Quality Program Implementation & Program Management:

• Act as a subject matter expert on quality improvement, quality measurement, and evaluation.
• Provide consultation and leadership in quality measurement and evaluation to MassHealth and OCA program staff
• Maintain current knowledge of major national quality initiatives and directions related to Medicaid programs
• Establish and maintain linkages within OCA, MassHealth, and other UMass Chan Medical School departments to develop and staff quality related projects for the MassHealth organization.
• Provide strategic input and direction for the Quality Office in designing and implementing quality improvement activities for MassHealth quality programs.
• Manage day-to-day logistics and operational needs of the program, convening and providing overall direction to program teams, and identifying and addressing problems which may adversely affect performance of the program
• Coordinate formal communications and meetings among senior program leadership, as well as working with senior departmental management regarding program needs and concern

Quality Stakeholder Engagement:

• At the direction of the MQO director, represent the Quality Office’s work at the state, regional and national levels (research planning, scientific study groups, conferences, and committees).

Cross-Cutting Quality Initiatives:

• Collaborate with a staff of individuals who provide direct support to MassHealth Programs and conduct the activities of the MassHealth Quality Office.
• Hire, advise and directly supervise and evaluate performance of other staff, as applicable. Provide functional supervision of other specific project/program staff as needed
• Review and monitor compliance with the federal and state regulations.
• Perform other duties as required.

Qualifications

REQUIRED QUALIFICATIONS:

• Masters Degree or equivalent in Health Care or Business Administration, Public Health, or a quality related health care field.
• 2-3 years experience with health care quality measurement and performance programsExperience with acute hospital, behavioral health, and/or long-term services and supports quality measurement
• Experience working in a matrixed environment
• Demonstrating excellent communication and presentation skills, both oral and written

Organization

Realize Your Opportunities – A Career at UMASS Medical School

Inside Workings at UMASS Medical School

The University of Massachusetts Medical School (UMMS), the Commonwealth's only public medical school, is proud of our role in serving the people of Massachusetts. Although, its the inside workings of UMMS that makes the difference.

Mission and Culture

• We’re serious about our mission and about our people.
• Real World Impact - Our people get excited about our mission of real-world impact in health sciences education, research and public service.
• International Prominence and New Opportunities - As this institution has grown to national – and international – prominence, we’ve found new opportunities to train tomorrow’s physicians, nurses and scientists, discover causes of and cures for disease and help improve the quality of health care.
• Deep Commitment - With our clinical partner, UMass Memorial Health Care, and our other teaching affiliates, we share a deep commitment to national distinction in patient care.
• Valued Partnerships – UMMS partners with Commonwealth Medicine, the health care consulting arm of UMMS. Also, UMMS partners with MassBiologics in scientific collaborations, technology management and creating partnerships for the development of products for the benefit of patients. These valued partnerships help us to provide services and programs to help meet our needs at UMMS and the public.
• Proud Contributors - People at UMMS enjoy the feeling of going to work every day knowing what they do is truly important and worthwhile.
• Complementary and Inseparable - These varied parts of our mission and culture are complementary and inseparable.

Careers

UMMS, the state’s first and only public academic health sciences center, educates physicians, scientists and advanced practice nurses to heal, discover, teach and care, with compassion. UMMS is a world-class institution with opportunities to match.

Competitive Compensation – UMMS offers salaries that are competitive with Worcester-area employers. When combined with our generous benefits, perks, and paid time off, many job seekers are surprised to find a total rewards package that matches or exceeds their current situation.

Targeted Hiring Process – At UMMS, there are actually multiple hiring processes for different segments of our workforce. In nearly all cases, UMMS hiring process is decentralized, with qualified candidates screened and referred to an academic officer or manager with hiring authority.

24/7 Access to Employment Opportunities – iCIMS is our online job search and application system. iCIMS is available 24/7 to provide you with a convenient and up-to-date view of the available employment opportunities across our campuses. Updates are made daily and include all faculty and non-faculty position listings from every school and department within the UMMS. When you identify a position you are interested in and qualified for, apply online. New opportunities become available frequently so it pays to check back often!

Benefits

With outstanding benefits, competitive pay, extensive learning opportunities, and a stimulating and attractive work environment, UMMS may be exactly the employer you’ve been looking for.

• Superior Benefits - UMMS offers a wide range of benefits and perks that invite comparison with the best employers in the Worcester area – and with academic institutions anywhere. UMMS provides superior medical and dental coverage for you and your family, fully funded retirement plans, generous time off, a Tuition Assistance Plan – and much more.
• People Centered - UMMS is an employer, but it is also a community. Its comprehensive medical and dental benefits, retirement plans, and even paid holidays reflect an institution built around people, with a deep respect for their differences and needs.
• Commitment to Healthy Living - UMMS provides resources to help you balance work and life and encourages healthy living through great programs and discounts for fitness, physical activity, weight management, nutritional counseling and general wellness available through our health insurance plans.
• Breadth of Offerings - Above all, the breadth of UMMS offerings set the School apart and makes it an environment favored by all sorts of smart, career-savvy people.

Apply for a Job

As an equal opportunity and affirmative action employer, UMMS recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds.

Online - To view all job opportunities and apply online, visit www.umassmed.edu/hr and click on the “Careers” tab.

Start Now and Realize Your Opportunities!

A History of Making Vital Improvements - UMASS Medical School Milestones

• 1962: Legislation establishes University of Massachusetts Medical School
• 1970: First medical students begin classes in Shaw Building
• 1974: First class graduates 16 MDs
• 1979: PhD program begins
• 1986: Graduate School of Nursing opens
• 1986: PhD program becomes Graduate School of Biomedical Sciences
• 1994: Graduate School of Nursing initiates PhD program
• 1998: UMass Clinical System and Memorial Health Care merge to form UMass Memorial Health Care
• 2001: Lazare Research Building opens
• 2002: Campus Modernization begins on the University Campus
• 2004: Graduate Entry Pathway Program established at the Graduate School of Nursing
• 2005: PhD Program in Clinical & Population Health Research established at the Graduate School of Biomedical Sciences
• 2005: Massachusetts Biologic Laboratories opens new manufacturing and filling facility in Mattapan
• 2006: Craig Mello, PhD, Blais University Chair in Molecular Medicine and Howard Hughes Medical Institute Investigator, is awarded the Medical School's first Nobel Prize. Dr. Mello shared the 2006 Nobel Prize in Physiology or Medicine with Andrew Fire, PhD, of Stanford University, for their discoveries related to RNA interference.
• 2007: Michael F. Collins, MD, is named chancellor and Terence R. Flotte, MD, is named dean of the School of Medicine.
• 2009: Groundbreaking for the Albert Sherman Center, a 500,000-square-foot research and education facility slated for completion in 2012.
• 2010: Ambulatory Care Center opens
• 2012: The Albert Sherman Center, a 500,000-square-foot research and education facility, completed and opens