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State of Massachusetts Special Projects and Operations Manager in Boston, Massachusetts

The Integrated Care team at MassHealth, the Massachusetts Medicaid agency, is seeking an individual to provide operational and organizational expertise and advance implementation of new policy and program initiatives. The Integrated Care Team is responsible for MassHealth’s integrated care delivery systems: One Care, the Program of All-inclusive Care for the Elderly (PACE), and SCO, including for individuals eligible for Medicare and Medicaid (dual eligibles). Individuals with diverse backgrounds or who demonstrate cultural competency working with the diverse populations enrolled in MassHealth are encouraged to apply. Smart, curious, self-motivated individuals will excel is this role. Skills or prior experience in process management, operations, business interface with operations or IT, implementation, interpreting and applying complex federal and state statutes, regulation, and policy, program administration, effective communication, collaborating in a team environment, and preferably having prior exposure to health care policy, program implementation, project management, and government are strongly preferred. _Duties and Responsibilities (these duties are a general summary and not all inclusive):_ The Special Projects and Operations Manager reports to the Director of Health Plan Administration and Oversight. * Manage Integrated Care Internal Operations and Implementations o Manage projects in multiple areas; planning, implementing, overseeing coordination between individuals and departments throughout the duration of projects. o Participate in cross-agency projects and workgroupsfor state and federal requirements/policy changes, and for operational, enrollment, and eligibility practice changes. o Create process documentation o Serve as a subject matter expert (SME) and primary liaison for enrollment, eligibility, integrated care/managed care operations issues, and for the development of business requirements for IT systems changes. * Manage and Resolve Eligibility and Enrollment Issues o Coordinate or handle the research of answers and issue resolution related to enrollment and eligibility issues. o Problem-solve, recommend policy and program changes, and manage implementation of enrollment and eligibility resolutions and updates. o Review, analyze, and interpret data from a variety of sources; recommend and apply findings to policy and procedure change processes and implementations. * Manage Plan-facing Operational, IT, and Business Process Issues o Propose and implement continuous improvements and program operations efficiencies for One Care, SCO, and PACE. o Participate in periodic audit and review processes to ensure proper Plan implementation and management of contract requirements and agency processes. o Draft business procedure documents describing operational changes for integrated care plans. o Document and organize operational policies and procedures for Plan-facing implementation. Preferred Qualifications: * Degree in a related field, especially health or social policy, public administration or public policy, public health, law, social work, criminal justice, political science, management, or economics * Passion for public service * Background in health care management, contract management, policy, government, Medicare, and/or Medicaid * One to three years of program, implementation, business planning, or operations experience in a health care environment * Experience with adapting content and effectively communicating (verbally or in written form) to diverse audiences * Ability to quickly shift gears between variety of complex project areas, and get up to speed quickly on new initiatives * Ability to work independently and collaboratively, including establishing and maintaining effective working relationships * Strong analytic and problem-solving skills * Excellent organization skills, including ability to manage time, to manage multiple tasks, to set priorities, and to work under time constraints * Experience effectively using project management techniques * Ability to interpret policies and procedures in written and verbal responses to requests for information * Experience presenting information in Microsoft Word, PowerPoint, and Excel, and familiarity with Tableau and Microsoft Teams _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:_ MassHealth, the Commonwealth’s Medicaid program, provides health care benefits to certain low and medium-income Massachusetts residents. This position supports the agency’s mission to improve health outcomes by providing access to integrated services that promote sustainable and equitable health, well-being, independence, and quality of life. For more information about our agency and programs please /_Pre-Hire 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 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 #2. 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! Executive Order #595:As a condition of employment, successful applicants will be required to have received COVID-19 vaccination or an approved exemption as of their start date. Details relating to demonstrating compliance with this requirement will be provided to applicants selected for employment. Applicants who receive an offer of employment who can provide documentation that the vaccine is medically contraindicated or who object to vaccination due to a sincerely held religious belief may make a request for exemption. 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. Job: Administrative Services* *Organization: Exec Office Of Health and Human Services *Title: *Special Projects and Operations Manager Location: Massachusetts-Boston-1 Ashburton Place Requisition ID: 220009MW