MassHealth Systems Operations Director
Full Time
Quincy, MA 02171
Posted
Job description
MassHealth is seeking qualified applicants for the position of MassHealth Systems Operations Director. This position will lead multiple strategic MassHealth system programs that will modernize the current systems used by operations staff, assistors, and members. MassHealth has a vision to create an integrated OneHealth system that supports all eligibility determinations for our members. This is a multiple year project that needs to be coordinated with our existing eligibility systems: Health Information Exchange (HIX) and MA21. In addition, MassHealth is working with the Integrated Enrollment and Eligibility (IE&E) Program at the EOHHS Secretariat level to implement components of the solution. These projects include IE&E Common Notice Solution, IE&E Member Communication Portal, IE&E Common Application, IE&E shared verifications among others. IE&E projects are also multiyear implementations.
The selected candidate will oversee all phases of the development and implementation of these programs for the MassHealth component of work. The incumbent will identify business process improvements, opportunities and implementation strategies related to the HIX eligibility system development.
This position works closely with the current HIX and MA21 managers to ensure integration and coordination happens. This person will represent in the One Health planning and procurement activities and the IEE.
Duties and Responsibilities (these duties are a general summary and not all inclusive):
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Coordinate all changes with MassHealth corresponding systems such as HIX, MA21, EDM, MWS, Pinpoint solution and others.
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Manage a multitude of complex tasks simultaneously, including prioritizing various tasks, analyzing, and evaluating IE&E and One Health system issues and ensuring that tasks are brought to final completion.
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Manage a unit of 3 staff members. These are Subject Matter Experts for eligibility system development/implementation
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Plan, organize, and direct project team meetings associated with development and implementation of MassHealth system components.
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Coordinate with all MassHealth stakeholders at it relates to the system implementations. Team includes legal, privacy, policy, operations, training, and publications.
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Participate in One Health and IE&E project meetings representing MassHealth as business owner.
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Participate in Business/IT JADs teaming with IT colleagues in system developments, enhancements, and expansions.
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Review and sign-off on documents defining business and functional requirement specifications for development.
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Draft and review procurement documents as needed.
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Investigate, analyze and triage issues regarding the One Health and IE&E systems.
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Troubleshoot and resolve difficult systems issues, identify resolutions to systems shortfalls and define needed systems enhancements.
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Serve as a vital component toward Excellence in Operations and customer service for members and providers.
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Collaborate with and support the statewide standardization of practices, policies, and workflows in use across all of MassHealth eligibility operations.
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Completes special projects in accordance with agency directives, including statistical and narrative reports.
Preferred Qualifications:
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Bachelor’s with a major in business administration, business management, public administration or other relevant areas.
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Extensive and in-depth knowledge of MassHealth policies, programs and procedures and the ability to integrate this knowledge with new and existing IT systems.
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Familiarity with a number of complex, technical issues, systems and programs affecting Medicaid and its services to members.
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The ability to manage and sustain multiple and complex relationships and ensure that lines of communication are open.
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The ability to work under significant time pressures to meet unanticipated demands.
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The ability to work effectively with teams, share information and work collaboratively to solve problems and make decisions.
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Experience designing and implementing data collection processes.
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Ability to give oral and written instructions in a precise, understandable manner.
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Ability to follow oral and written instructions.
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Ability to gather information by analyzing data.
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Ability to maintain accurate records.
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Ability to write concisely, to express thoughts clearly, and to develop ideas in logical sequence.
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Ability to prepare and use charts, graphs, and tables.
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Ability to communicate effectively in oral expression.
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:
To improve the health outcomes of our diverse members and their families by providing access to integrated health care services that promote sustainable & 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 and click on "Information for Job Applicants".
As part of the hiring process, the Office of Human Resources will be verifying any college-level degrees conferred to the selected candidate. Additionally, any licensure required for the position will be verified. Information provided as part of the hiring process is subject to the Massachusetts Public Record Law and may be published on the Commonwealth’s website.
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Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.
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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 Office of Human Resources at 1-800-510-4122 and select option #2
Qualifications
MINIMUM ENTRANCE REQUIREMENTS:
Applicants must have at least (A) six (6) 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 two (2) years 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 degree in a related field may be substituted for four (4) years of the required (A) 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.
Official Title
: Administrator VII
Primary Location
: United States-Massachusetts-Quincy - 100 Hancock Street
Job
: Administrative Services
Agency
: Exec Office Of Health and Human Services
Schedule
: Full-time
Shift
: Day
Job Posting
: Dec 5, 2022, 2:22:53 PM
Number of Openings
: 1
Salary
: 88,741.11 - 136,870.53 Yearly
If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer / ADA Coordinator
: Johny Laine/Johny.Laine@mass.gov - 6173485067
Bargaining Unit
: M99-Managers (EXE)
Confidential
: No
Hybrid Work Eligible
: Yes
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