Senior Manager, Strategic Initiatives, Policy, and Data

MassHealth; Boston (MA); On-site; USD 120,000 - 160,000; Full time

Job summary

MassHealth is seeking a Senior Manager, Strategic Initiatives, Policy, and Data to lead high-priority projects across the DH, ADH, AFC, and GAFC programs. You will develop plans, analyze complex data, and translate policy decisions into program operations, working with leadership and external partners.

The role requires exceptional problem-solving and communication skills, with a focus on policy and data-driven improvements for MassHealth members in home and community-based settings.

Qualifications

• 5+ years of professional/administrative/managerial experience in business administration, public administration or related fields.
• At least 1 year in project management, supervisory, or managerial capacity.
• Substitutions allowed: degree or advanced degree may count for experience.

Responsibilities

• Lead planning and implementation of complex, high-priority projects; develop work plans and lead staff.
• Conduct analysis of prior authorization data, claims data, and cost reports to identify opportunities for improvement.
• Engage members, advocates, providers, and stakeholders to gather feedback and inform policy changes.
• Develop, prepare, and present policy, operational, and strategic recommendations to leadership.
• Lead responses to legislative, regulatory, federal compliance, and other urgent program priorities.

Skills

Analytical skills

Organizational skills

Interpersonal skills

Communications skills

Stakeholder engagement

High-level official interaction

Excel

PowerPoint

Prioritization under pressure

Ambiguity tolerance

Ownership of workstreams

Process management

Public service passion

Education

Bachelor's degree in related field

Graduate degree in related field

Doctorate in related field

Tools

Excel

PowerPoint

Job description

The MassHealth Office of Long-Term Services and Supports (OLTSS) is responsible for managing a robust system of supports for members of all ages who need services to enable them to live with independence and dignity in their daily lives, participate in their communities, and increase their overall quality of life. These services and supports may be provided in the home; in residential, day, and other community-based settings; or in certain facility-based settings. OLTSS is responsible for ensuring that services are member-focused, accessible, of the highest quality, and delivered in a cost-effective manner. This position will focus on four key OLTSS programs: Day Habilitation (DH), Adult Day Health (ADH), Adult Foster Care (AFC), and Group Adult Foster Care (GAFC). These programs provide critical home and community-based services that help MassHealth members remain in their communities.

The Senior Manager, Strategic Initiatives, Policy, and Data leads high-priority projects for the DH, ADH, AFC, and GAFC programs. Projects may include policy and regulatory changes, federal initiatives and compliance, operational improvements, and data and systems work. The Senior Manager develops and manages project plans, coordinates across OLTSS, MassHealth, and external partners, and drives projects from planning through implementation. This role analyzes complex issues, develops recommendations for leadership, addresses project risks and challenges, and works in close partnership with program leadership and staff to translate policy decisions into program operations. Selected applicants for this role will have exceptional problem-solving, communication, and analytical skills.

Duties and Responsibilities (these duties are a general summary and not all-inclusive):

• Lead the planning and implementation of complex, high-priority projects; identify project scope, develop work plans, and lead day-to-day efforts of staff in developing policy and/or operational recommendations through successful implementation.
• Conduct analysis on prior authorization data, claims data, provider cost reports, and other sources to identify and prioritize opportunities for improvement and/or guide implementation of strategic initiatives.
• Engage members, advocates, providers, and other stakeholders to gather feedback and inform policy and program changes.
• Develop, prepare, and present policy, operational, and strategic recommendations to MassHealth and OLTSS leadership.
• Lead responses to emerging legislative, regulatory, federal compliance, and other urgent program priorities.

Preferred Qualifications:

• Strong analytical, organizational, interpersonal, and communications skills.
• Ability to work with high-level officials and executives
• Effective Excel, PowerPoint, and other Microsoft Office applications skills.
• Ability to prioritize numerous tasks and to work under high pressure and tight time constraints.
• Comfort with ambiguity and providing structure to ambiguous problems
• Ability to take ownership of workstreams with high-level direction and guidance
• Ability to provide structure and process management to the projects
• Experience with projects and processes in an analytic and strategic capacity.
• Passion for public service.

About MassHealth:

The mission of MassHealth is to improve the health outcomes of our diverse members, their families, and their communities by providing access to integrated health care services that sustainably promote health, well-being, independence, and quality of life.

For more information about our agency and programs, please visit: www.mass.gov/masshealth

Pre-Offer Process:

A criminal and tax history background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori

Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.

ADA Reasonable Accommodation:

If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests

For questions, please contact the Executive Office of Health and Human Services Human Resources at 1-800-510-4122 and select option #4.

Qualifications

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) five (5) years of full-time or equivalent part-time, professional, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration, or clinical management, of which (B) at least one (1) year must have been in a project management, supervisory, or managerial capacity, or (C) any equivalent combination of the required experience and substitutions below.

Substitutions:

I. A certificate in a relevant or related field may be substituted for one (1) year of the required (A) experience.

II. A Bachelor's degree in a related field may be substituted for two (2) years of the required (A) experience.

III. A Graduate degree in a related field may be substituted for three (3) years of the required (A) experience.

IV. A Doctorate in a related field may be substituted for four (4) years of the required (A) experience.

Salary placement is determined by a combination of factors, including the candidate’s years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

An Equal Opportunity / ...

The Commonwealth is an Equal Opportunity Employer and does not discriminate based on race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.