Director, Medicaid Strategy & ACO Leadership

8925 Mass General Brigham Health Plan Holding Company, Inc.; Somerville (MA); Hybrid; USD 124,000 - 181,000; Full time

Job summary

Mass General Brigham Health Plan is seeking a Director of Medicaid Strategy to develop and execute ACO strategies that improve member outcomes and financial performance. The role requires leading cross-functional teams, deep MassHealth expertise, and a strong grasp of value-based care within a hybrid work environment.

The ideal candidate will have extensive Medicaid/Medicare program management experience, strategic planning skills, and the ability to collaborate with internal departments and

Qualifications

• Bachelor's Degree required.
• 8-10 years of Healthcare Business Development experience required.
• 5-7 years of Medicaid/Medicare or Dual Eligible Program Management experience required.
• 8-10 years of progressive management experience required.
• Experience in Medicaid regulation, policies, and procedures highly preferred.

Responsibilities

• Develop and execute Medicaid/ACO strategies to improve member outcomes and financial performance.
• Lead cross-functional teams across departments to optimize Medicaid business performance.
• Monitor and evaluate financial performance, including cost trends and quality incentives.
• Prepare and present reports on performance trends, opportunities, and risks to leadership.

Skills

Leadership

Analytics

MassHealth knowledge

Value-based care understanding

Strategic planning

Cross-functional collaboration

Education

Bachelor's Degree

Job description

Mass General Brigham Health Plan is seeking a Director of Medicaid Strategy to develop and execute ACO strategies that improve member outcomes and financial performance. The role requires leading cross-functional teams, deep MassHealth expertise, and a strong grasp of value-based care within a hybrid work environment.

The ideal candidate will have extensive Medicaid/Medicare program management experience, strategic planning skills, and the ability to collaborate with internal departments and