Health Equity Quality Specialist

Site: Mass General Brigham Health Plan Holding Company Inc.

Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham we are on the forefront of transformation with one of the worlds leading integrated healthcare systems. Together we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.

Our work centers on creating an exceptional member experience a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today our employees have opportunities to learn and contribute expertise.

We are pleased to offer competitive salaries and a benefits package with flexible work options career growth opportunities and much more.

The Health Equity Specialist supports Mass General Brigham Health Plans quality and accreditation strategy with a primary focus on NCQA Health Equity requirements. This role serves as a subject matter expert for NCQA Health Equity Accreditation standards and partners across the organization to plan coordinate and execute health equity initiatives that align with accreditation regulatory and quality improvement expectations.

The position leads and manages crossfunctional projects related to health equity performance documentation and readiness ensuring deliverables are completed on time and meet NCQA standards. The Health Equity Specialist plays a critical role in maintaining continuous accreditation readiness by coordinating evidence collection tracking requirements monitoring progress against project plans and supporting internal and external reviews. This role is wellsuited for a candidate with prior experience in a health plan quality department strong familiarity with NCQA health equity standards and demonstrated strength as a project manager driving complex initiatives across multiple stakeholders.

The Specialist must have a deep understanding of health equity requirements from a regulatory and accreditation lens providing subject matter expertise for collaborative business partners while managing the health equity initiatives and deliverables within the quality team.

Principal Duties and Responsibilities:

Health Equity & Quality Improvement
Drafting reviewing and revising internal policies and procedures to ensure alignment with industry standards legal requirements and best practices.
Identify disparities in clinical outcomes access and patient experience through data analysis and quality metrics.
Develop implement and monitor health equity action plans tied to organizational quality goals and regulatory requirements.
Support quality improvement (QI) projects using methodologies such as PDSA Lean or Six Sigma.
Collaborate with care teams to integrate equity principles into workflows care pathways and population health strategies.
Comprehensive health equity program management ensuring compliance to regulatory requirements to ensure constant state of audit and accreditation readiness.

Data & Reporting
Collect stratify and analyze data by race ethnicity language gender identity sexual orientation socioeconomic status and other demographic factors.
Produce dashboards reports and presentations to communicate disparities and improvement opportunities.
Ensure accurate documentation and compliance with national state and accreditingbody standards (e.g. CMS NCQA Joint Commission).
Facility development and ensure delivery of state federal and other reporting requests.

Policy & Program Management
Ensuring that all policies and documents meet legal regulatory and industry-specific compliance standards.
Preparing for and supporting internal and external audits by providing the necessary documentation and ensuring that policies and records are up to date.
Identifying risks associated with inadequate documentation or non-compliance with policies and working to mitigate those risks.
Maintaining proper security protocols for sensitive documents to prevent data breaches or unauthorized access.
Review and recommend modifications to policies procedures and programs to enhance equity and inclusion.
Partner with community organizations patient advocates and internal teams to support outreach and engagement of marginalized populations.
Ensure development and execution of foundational program documents complying with regulatory and accreditation standards.
Complete ongoing program oversight to ensure implementation of program and initiatives across the business lines.
Manage appropriate committees including compiling agendas meeting minutes and presentations.

Other duties as assigned.

Qualifications

Education

• Bachelors Degree required (experience can be substituted in lieu of degree); Masters Degree preferred

Experience

• At least 2-3 years of experience in a health plan quality department specializing in health equity required
• At least 5 years in health plan quality in a managed care organization highly preferred
• At least 3 years in health equity-facing role from a payor perspective highly preferred
• Experience in healthcare quality health equity initiatives population health or related program coordination highly preferred
• Familiarity with QI methodologies and regulatory standards highly preferred

• Experience working with diverse communities or in community health managed care or hospital quality departments preferred
• Certification in healthcare quality or equity (e.g. CPHQ CPHE Lean Six Sigma) preferred
• Experience with SDOH screening tools community partnerships or health literacy initiatives preferred

Knowledge Skills and Abilities

• Strong understanding of document management systems (DMS) such as SharePoint OpenText or Documentum to manage digital files track revisions and maintain version control.
• Familiarity with cloud storage systems and collaboration tools like Google Drive Dropbox and Microsoft OneDrive.
• Experience with electronic records management (ERM) and data retention policies.
• Demonstrates awareness of importance of security scalability reliability and feasibility in solutions
• Seeks out information to better understand impacts of design and implementation of systems
• Evaluates service areas to identify opportunities for automation
• Ability to draft revise and implement company policies and standard operating procedures.
• Knowledge of compliance standards including industry-specific regulations (e.g. healthcare HIPAA regulations financial regulations state and federal rules).
• Strong organizational skills to ensure policies and documents are properly filed categorized and easy to access.
• Ability to spot discrepancies or issues in documents and ensure compliance with required guidelines.
• Breaks complex topics into meaningful chunks of information.
• Seeks out multiple sources to gather information.
• Understanding of legal and regulatory requirements for document retention and management including data privacy and security laws.
• Knowledge of audit procedures and the ability to prepare documentation for audits.
• Excellent written and verbal communication skills for drafting policies and procedures as well as providing guidance to employees about document handling and compliance.
• Ability to train staff on document management practices and policy changes.
• Experience using document management software and workflow tools to streamline document processes and improve efficiency.
• Proficiency in Microsoft Office Suite (Word Excel PowerPoint Outlook) and other productivity tools is often required.
• Familiarity with document control software for versioning workflow management and access permissions.
• Ability to manage multiple tasks or projects simultaneously adhering to deadlines and ensuring that policies and documents are up to date.
• Experience with project management software such as Trello or Microsoft Project is beneficial.
• Ability to identify issues with document flow retention or compliance and propose solutions to resolve them.
• Strong critical thinking skills for analyzing policies and procedures to ensure they align with organizational goals and legal requirements.
• Excellent interpersonal skills including the ability to influence others at all levels of an organization.

Additional Job Details (if applicable)

Working Conditions

• This is a remote role that can be done from most US states

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$63648.00 - $90750.40/Annual

Grade

6 At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

8925 Mass General Brigham Health Plan Holding Company Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework

At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.

Required Experience:

IC