Health Safety Net Policy Manager

MassHealth is seeking a talented, motivated and experienced individual to serve as the Policy Manager of the Health Safety Net Office. The Policy Manager will be responsible for overseeing policy-related activities of the Health Safety Net Office.

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

• Responsible for the development, implementation, and coordination of Health Safety Net eligibility policy, and ensuring that the Health Safety Net is aligned with MassHealth and Health Connector policies as well as the Commonwealth's overall health care reform goals as appropriate.

• Responsible for the development, implementation, and coordination of Health Safety Net payment policy.

• Develop regulations that define eligibility, scope of health services, and standards for special circumstance enrollment(medical hardship, bad debt, and confidential) , and assist in effective communications mechanisms to ensure that affected parties are fully informed of the regulations.

• Assist the Director with the implementation of operational procedures to implement regulations as promulgated, provide policy direction and training to helpdesk staff and contractors to ensure provider relations/customer services to policy inquiries and issues arising from the patient eligibility system and the claims adjudication payment system.

• Oversee the development and editing of annual reports to the legislature on eligibility requirements, provider reimbursement levels, and recommendations for ongoing improvements.

• Manage contracts with vendors providing programmatic support to the Health Safety Net Office

• Participate in or coordinate provider meetings, training sessions, multi-agency meetings, and internal Division meetings on Health Safety Net policy.

• The Policy Manager must administer their duties for the office under these broadly defined concepts with consideration of the goals of the Secretary of the Executive Office of Health and Human Services (EOHHS).

• The Policy Manager must have knowledge of health care financing concepts and a broad understanding of the health care provider sector and other key stakeholders to further improve the Health Safety Net Office and the overall health care system.

Required Qualifications:

• Ability to set goals and strive for excellence or improvement.

• Ability to identify a problem or opportunity and take action to address current or future problems and opportunities.

• Ability to think through problems, organize information, and identify key factors and underlying causes to generate solutions.

• Ability to work cooperatively with others and be part of a team.

Preferred Qualifications:

• A broad knowledge of health care payment systems, health care delivery systems, and health care coverage options available under Massachusetts law and under the Affordable Care Act.

• Effective communication skills.

• Demonstrated quantitative and qualitative policy analysis skills.

• Project management experience.

• Skilled at problem-solving and conflict resolution.

• Ability to manage multiple projects simultaneously and to respond to changes in priorities in a flexible manner.

• Ability to plan, prioritize and delegate tasks, and to effectively utilize staff members to accomplish assigned work objectives.

• Supervisory experience, preferred.

TO APPLY:

Please upload both Resume and Cover Letter for this position when applying. First consideration will be given to those applicants that apply within the first 14 days.

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.

If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form..

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

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) five (5) years of full-time or, equivalent part-time, professional, professional internship, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management or (B) 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 experience.

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

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

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

Comprehensive Benefits

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 / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of 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.