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Project Specialist, Medicaid ACO
MGH Institute of Health Professions
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Project Specialist, Medicaid ACO
MGH Institute of Health Professions
| About Us As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research. We're focused on a people-first culture for our system's patients and our professional family. That's why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees' personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development-and we recognize success at every step. Our employees use the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration. General Overview Population Health Management (PHM) is an innovative model of care delivery that aims to improve the health of patients while lowering the overall costs of care. PHM includes best practices and tactics to enhance the patient experience, improve outcomes, and provide better organized and more personalized care to our patients. PHM is seeking a Project Specialist to assist with the Medicaid ACO team. Looking for a detail oriented, persistent and organized team player. The Project Specialist will provide administrative management and support for the MGB Medicaid ACO contract. This includes, as applicable, learning about and assessing the ACO programs and models, supporting participation and other strategic decisions within the MGB organization, and working with clinical and administrative leadership to help maximize MGB's performance. The position also provides support for ACO operations for primary care practices. Principal Duties and Responsibilities • Provide organizational support for overall Medicaid ACO contract requirements. • Translate certain contract requirements into summary materials and timelines for staff education • Prepare presentations, meeting materials, minutes, and action plans. • Work closely with MGB Community Health, MGB Data and Analytics Organization (DAO), and MGB Population Health Management program staff. • Manage the day-to-day operations of the PHM Fellows and Residency Programs. • Lead the Medicaid ACO operations around care needs screening. • Manage MassHealth reporting requirements as needed. • Maintain library of Medicaid contract and amendments, Medicaid bulletins, and MGB's required submissions to the state; manage Lumos Central Resource Hub. • Assist practices in managing their MassHealth ACO membership and panel sizes. • Work with analysts in DAO to understand structure of our data; in the future, perform high-level analysis using Tableau, our Medicaid dashboard. • Represent Medicaid ACO Team on projects or at meetings as needed. • Support ADT (Admissions, Discharges and Transfers) platform. Work with Regional Services Organizations (RSOs) and our ADT vendor to provide access and training for the ADT portal, answer questions and troubleshoot issues. • Manage process to maintain all practice information with MassHealth; manage referral circle for the ACO, and regular reconciliation of all practice data. • Support other departments with the operations of MassHealth programs, as assigned. • Provide assistance on additional projects as assigned. Qualifications Qualifications • BS/BA or equivalent required • 1-3+ years' experience required, preferably in a healthcare environment • Experience providing project management support required, preferably in a healthcare setting • Experience with PC / Microsoft applications including Word, Advanced Excel, and PowerPoint • Master's degree preferred, but not required Skills/Abilities/Competencies Required • Strong organizational, administrative, and project management skills • Ability to prioritize and resolve critical issues efficiently and effectively • Ability to effectively present ideas and information • Strong analytic skills; ability to turn data into information • Strong written and verbal communication skills • Strong commitment to customer service • Experience with Microsoft Office applications; advanced Excel skills • Ability to work independently EEO Statement Mass General Brigham is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. 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. Partners Healthcare System Inc. is acting as an Employment Agency in relation to this vacancy.
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Internal Number: 3136999-1435_1607615311
About MGH Institute of Health Professions
MGH Institute of Health Professions, founded by Massachusetts General Hospital in 1977, is an innovative and independent graduate school in Boston that is a member of Partners HealthCare. A progressive leader in developing comprehensive models of health care education, the MGH Institute prepares advanced practice professionals in the fields of nursing, physical therapy, occupational therapy and communication sciences and disorders through a distinctive combination of academic study, clinical practice, and research. More than 1,200 students are enrolled in graduate level and certificate programs, with an increasing number of courses available online. The Institute is accredited by the New England Association of Schools and Colleges (NEASC).
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