MassHealth, the Massachusetts Medicaid agency, is seeking a skilled Project Manager to organize and manage multiple work streams and sub-initiatives to support the transition of One Care, a comprehensive integrated care program for dual eligible adults with disabilities, from a demonstration to new federal authority; e.g. from a program of Medicare-Medicaid Plans (MMP) to Dual Eligible Special-Needs Plans (D-SNP) with companion Medicaid managed care plans. The transition work includes all related policy development, procurement development, work streams, and implementation activities.

The Project Manager will need to rely on Medicare and Medicaid policy and program knowledge, as well as Medicare-Medicaid integration knowledge, to effectively anticipate, identify, and plan for issues that must be reflected in work plans. The Project Manager will direct a variety of strategic Medicare-Medicaid integration projects in coordination with Integrated Care team management, OLTSS senior staff, various MassHealth teams, and MassHealth leadership. The MMP to D-SNP transition initiative is complex, cross-functional, highly impactful to members, time-sensitive, and high risk.

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 Senior Care Options (SCO), which primarily serve individuals eligible for Medicare and Medicaid (dual eligibles). This team is in a hybrid work environment, including as part of the Commonwealth’s Modern Workplace initiative.

Individuals with diverse backgrounds or who demonstrate cultural competency working with the diverse populations enrolled in MassHealth are encouraged to apply. Smart, curious, compassionate, self-motivated individuals will excel in this role. The ideal candidate will be highly organized, have mastery of project management techniques, be confident managing intersecting work streams in conjunction with leadership, and will have training or experience with Medicare, Medicaid managed care, Medicare-Medicaid integration, health plan processes, and program implementation. Skills or prior experience in policy and program analysis, interpreting and applying federal and state laws and regulations, effective communication, collaborating in a team environment, and government are strongly preferred.

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

The Medicare-Medicaid Transition Project Manager will report to the Director of Medicare-Medicaid Integration Policy and will collaborate closely with Integrated Care leadership and team members.

• Lead Project Management: Lead overall project management for MMP to D-SNP Transition and related Medicare-Medicaid integration strategic projects for MassHealth Integrated Care (e.g. health plan and other procurements), including: maintaining work plans, project plans, and timelines; and facilitating and organizing cross-functional teams necessary for various simultaneous work streams. Developing decision memos, briefings, and other project documents using input from program and policy experts and staff, and organizing and facilitating communications will be key tasks.
• Apply Program and Policy Subject Matter Expertise to Operations and Implementation Activities: Identify and manage tasks to support operations changes and implementation of federal authority changes and related health plan model changes. Collaboration with lead experts in various areas of MassHealth and developing a working set of knowledge of Medicare-Medicaid integration requirements, D-SNP requirements and processes, and Medicaid managed care requirements and processes will be necessary to support and facilitate policy and program development tasks, operational changes, and implementation planning related to the transition.
• Engage with Stakeholders: Directly engage with, and support subject matter experts and MassHealth leads in engagement with stakeholders, including consumers and members, advocates, plans, providers, sister state agencies, and other oversight and interested groups/constituencies. This may include leading interviews and meetings, organizing and developing agendas and materials for stakeholder discussions, and handling logistics, including through vendors, as well as facilitating external messaging.
• Manage Contracts, Vendors, and Other Resources: Manage large-scale, strategic contracts necessary to support and resource key projects and workstreams. This includes vendor procurement tasks and contracting, developing, and managing vendor scopes of work and project plans, managing timelines and deliverables, and strategic planning for contracts and procurements.

Preferred Qualifications:

• Excellent analytical and problem-solving skills
• Excellent writing, presentation, facilitation, and communication skills.
• Excellent organization skills, including ability to manage time, to set priorities and to work under time constraints.
• Hands-on experience using and presenting information in Microsoft Word, PowerPoint, and Excel, and familiarity with Tableau, Microsoft Teams, and Microsoft Project.
• Hands-on experience writing justification letters, contracts, requests for response (RFRs), and other business documents.
• Ability to create quality presentations, reports, training materials, and documents (e.g. executive summaries, draft reconstitution procedures, etc.).
• Knowledge of health care delivery and payment systems, policy analysis, Medicaid, Medicare, eligibility, payment, quality, disability policy, elder care, or long-term care.
• Familiarity with state and federal legislative and rule-making processes, and with health care-related legislation and policy issues.
• Experience working with cross-functional areas and teams.
• Passion for public service.
• Ability to work independently and collaboratively, including establishing and maintaining effective working relationships.
• 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 developing and controlling a project plan and coordinating resources to accomplish project objectives and monitoring project status.

• 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

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 visit: www.mass.gov/masshealth

Pre-Offer Process

A criminal and tax 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 contact the Executive Office of Health and Human Services Office of Human Resources at 1-800-510-4122 and select option #2.

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!