Program Manager, Medicaid ACO
Job Description
Location: Steward Health Care Network
Posted Date: 2/27/2023
Position Purpose:
The Program Manager manages key programmatic components and initiatives of the Medicaid ACO program, and provides support to assist in achieving Medicaid program goals.
Key Responsibilities:
- Develop, monitor, and maintain in-depth knowledge of Medicaid program rules and requirements, and translate those rules and requirements into business and operational execution, such as:
- Content for member facing materials and provider training
- Address provider questions
- Update and evaluate program design
- Support ACO re-procurement/implementation activities
- Aggregate data from operations and finance teams to monitor program performance, including maintaining a dashboard of process and outcome measures for ACO performance. Identify opportunities for program improvement, intervention, issue escalation, etc. grounded in regular performance monitoring.
- Assist in developing and overseeing the Medicaid ACO programs and budgets, which includes but is not limited to Steward’s Delivery System Reform Incentive Payment (DSRIP), Flexible Services Program
- Staff the governance bodies of the Steward Medicaid ACO, including the governing board and its committees. Prepare agendas and materials for board and committee meetings, and coordinate development and submission of regulatory documentation.
- Manage vendors for program initiatives, including contract compliance, budget, and performance against initiative goals.
- Interface with regulators to participate in and report back on MassHealth program meetings, track and resolve any program issues escalated to Medicaid ACO team from Steward providers or members, track and obtain responses on program questions, etc.
- Other duties related to Medicaid program as assigned.
Education / Experience / Other Requirements |
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Application Instructions
Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!
Apply OnlinePosted: 2/23/2023
Job Status: Full Time
Job Reference #: 121060