GENERAL SUMMARY OF POSITION:

This position will work closely with Operations staff as well as other internal and external stakeholders such as; EOHHS staff, providers, and vendors in the development, implementation, and ongoing activities that support the MassHealth provider experience and overall goals and objectives of MassHealth.

GENERAL STATEMENT OF DUTIES AND RESPONSIBILITIES:

This position will assist the Director of Provider Operations in the oversight of the MassHealth Business Support Services (BSS) contract.

A focus will be on areas such as; Provider Enrollment and file updates, Revalidation, Provider education, communication, and outreach activities, Reports, etc. Additionally, this position will provide support to the MassHealth Contact Center Services Contract for provider calls. Other areas of focus will include development and maintenance of provider material ensuring accuracy and quality that will improve the provider experience. Developing and analyzing various reports that will gauge the effectiveness and quality of activities performed by our MassHealth contracts as well as satisfaction of Providers and internal stakeholders.

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

Assist in the oversight of Business Support Services contract ensuring that policies, regulations and objectives are clearly and accurately supported by the vendor and put forth in a manner that best aligns with the MassHealth mission and goals

Support the development, review, and issuance of provider material

Participate and support internal workgroups by providing expertise related to training, education and communication techniques and development of material

Assist in establishing and maintaining relationships with our vendors, EOHHS staff and the MassHealth provider community

Preferred Qualifications:

Ability to communicate effectively in oral expression and provide written and oral instructions

Ability to analyze and determine the applicability of data, to draw conclusions and make recommendations

Knowledge of methods used in the preparation of charts, graphs and tables

Ability to adjust to varying or changing situations

Proficient in computer programs including Microsoft office, word, excel, Teams

Proficient analytic, interpersonal, and leadership skills

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

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.

Pre-Offer Process:

A criminal 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 #2.

• Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

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!