Remote MassHealth Operations & Regulatory Program Manager

Mass General Brigham Health Plan, Inc.; Massachusetts; Remote; USD 64,000 - 93,000; Full time

Job summary

Mass General Brigham Health Plan Holding Company, Inc. is seeking a results-driven project or program manager to support MassHealth operations, regulatory reporting, governance, and related initiatives.

You will coordinate deliverables, track action items, and ensure timely communications across stakeholders. Required: a Bachelor’s degree and 3–5 years of PM experience; 1–2 years with Medicaid/MassHealth or government programs preferred.

Qualifications

• At least 3-5 years of experience in project or program management.
• At least 1-2 years of experience with Medicaid, MassHealth, or government programs preferred
• At least 1-2 years of experience managing reporting processes and compliance workflows preferred
• Bachelor's Degree required; experience can be considered in lieu of a degree
• Strong interpersonal and communication skills; ability to collaborate with diverse stakeholders

Responsibilities

• Coordinate assigned MassHealth operational activities and initiatives by maintaining timelines, tracking deliverables, documenting progress, and following up with stakeholders to support the timely completion of work.
• Prepare, compile, and submit routine MassHealth regulatory reports and contractual deliverables, including quarterly, semi-annual, annual, and ad hoc submissions, in accordance with established requirements and timelines.
• Receive, track, and distribute MassHealth communications to appropriate stakeholders; monitor responses and follow-up activities; and elevate issues requiring management review or decision-making.
• Coordinate governance, committee, and meeting activities by scheduling meetings, preparing materials, documenting meeting outcomes, maintaining action-item logs, and supporting follow-up activities.
• Support MassHealth operational processes, including benefit and reimbursement updates, bulletin and transmittal tracking, redetermination activities, member assignment processes, provider enrollment coordination, PIDSL maintenance, practice closure activities, discharge tracking, and related system updates.

Skills

Project management

Communication skills

Analytical thinking

Team collaboration

MS Office Suite

Education

Bachelor's degree

Job description

Mass General Brigham Health Plan Holding Company, Inc. is seeking a results-driven project or program manager to support MassHealth operations, regulatory reporting, governance, and related initiatives.

You will coordinate deliverables, track action items, and ensure timely communications across stakeholders. Required: a Bachelor’s degree and 3–5 years of PM experience; 1–2 years with Medicaid/MassHealth or government programs preferred.