Senior Manager of Accountable Care Innovation and Policy

Senior Manager of Accountable Care Innovation and Policy (260003VM) The Executive Office of Health and Human Services (EOHHS) is the largest executive agency in state government and oversees expenditures of approximately $19.4 billion annually. EOHHS employs roughly 22,000 people and serves about 2 million clients. Section 1115 of the Social Security Act grants the Centers for Medicare and Medicaid Services (CMS) the authority to approve “non‑traditional,” pilot, or demonstration projects that help promote the objectives of the Medicaid program. Massachusetts has operated a 1115 waiver since 1997; the most recent demonstration was authorized in 2022 and expires in 2027. Building upon prior demonstrations, MassHealth’s current 1115 waiver continues the Accountable Care Organizations (ACOs) model, launched in March 2018, covering over 80% of MassHealth’s managed‑care eligible members. ACOs shift a large portion of the state’s Medicaid business from fee‑for‑service care to a model where providers are accountable for managing population health, quality of care, and financial responsibility for the total cost. Under the direction of the Deputy Director, the Senior Manager of Accountable Care Innovation and Policy leads the design and implementation of policy in key areas, focusing in particular on the 1115 demonstration waiver. The role supports the design, negotiation, implementation, and evaluation of the waiver. Duties and Responsibilities Drive high‑impact programmatic decision‑making for policy initiatives related to the 1115 waiver and broader MassHealth transformation efforts. Partner closely with subject matter experts across behavioral health, social determinants of health, eligibility, and finance to shape and advance policy strategy. Synthesize complex and cross‑functional policy inputs into clear recommendations and actionable implementation plans. Lead and manage key policy and operational decisions, ensuring alignment across teams, leadership, and external stakeholders. Facilitate stakeholder engagement and collaboration with internal teams, state partners, providers, and external organizations. Oversee end‑to‑end project management for the 1115 waiver, including development and tracking of project plans, milestones, and deliverables. Monitor project timelines, budgets, and dependencies to ensure successful execution and timely completion of initiatives. Identify project risks and develop proactive mitigation strategies to support smooth implementation and operational readiness. Review and coordinate deliverables to ensure accuracy, quality, and compliance with CMS requirements. Support the development, implementation, and operationalization of policy changes tied to the 1115 waiver and related initiatives. Translate policy priorities into effective operational processes, driving system‑wide improvements and measurable program impact. Preferred Qualifications Project management experience, knowledge of healthcare policy, strong communication skills, structured thinking, ability to work in a cross‑functional and matrixed environment, quick learner, and comfort with basic payment/rate principles. Excellent organizational skills and attention to detail. Ability to parse complicated problems with minimal direction, and clearly communicate findings to a variety of stakeholders (internal and external). Ability to lead projects through organizing work, establishing operating relationships, and coordinating the work of others. Minimum Entrance Requirements Applicants must have at least five (5) 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. A certificate in a related field may be substituted for one year of the required experience. A Bachelor’s degree in a related field may be substituted for two years of the required experience. A Graduate degree in a related field may be substituted for three years of the required experience. A Doctorate degree in a related field may be substituted for four years of the required experience. About MassHealth The mission of MassHealth is 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. Equal Opportunity Employer An Equal Opportunity / Affordative 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. If you have Diversity, Equitable Employment, or Reasonable Accommodation questions, please contact Diversity Officer / ADA Coordinator: Sandra Semedo, View email address on click.appcast.io – View phone number on click.appcast.io. #J-18808-Ljbffr