Deputy Chief Operating Officer for Eligibility and Member Services

MassHealth is seeking qualified applicants for the position of MassHealth Deputy Chief Operating Officer for Eligibilityand Member Services. The MassHealth Deputy Chief Operating Officer (COO) for Eligibility and Member Services reports directly to the MassHealth Chief Operating Officer. The Deputy COO will oversee units responsible for MassHealth Enrollment Center operations and Eligibility and enrollment operations.
The staff in these units consists of directors, assistant directors, managers, program coordinators, social worker employees and clerical staff. The units focus on day-to-day Eligibility and enrollment activities as well as member and provider customer service, member noticing and education, special assignments, internal systems (i.e., HIX, MA212, MWS, Captiva and MMIS) data collection and analysis, and enrollment decision support. Supporting operations requires intense collaboration with leadership in other MassHealth units, as well as interfacing with providers, health plans, and Member advocacy organizations.
These responsibilities advance MassHealth's mission by developing policies that support the ability of Massachusetts residents to get access to healthcare and ensuring that our staff and partners are trained and informed on MassHealth policies, processes and systems.
Duties and Responsibilities (these duties are a general summary and not all inclusive):
• Manage the work of the Eligibility and Enrollment Operations units through supervision of unit managers, review and approval of staffing decisions, assignment of tasks, coaching, performance reviews and support for professional development.
• Oversee the development and delivery of Operational readiness for various special project that affect providers and Members.
• Communicate and direct the implementation of the priorities of MassHealth executive leadership; establish policies and procedures to operationalize state and federal mandates and MassHealth initiatives.
• Serve on MassHealth Operations Senior Management Team and carry out the directives of the Chief Operating Officer, Medicaid Director and Secretary of Health and Human Services.
• Advise the Chief Operating Officer, Medicaid Director and other senior leadership on operational matters within areas of responsibility.
• Identify and implement process improvements to enhance quality and efficiency and achieve budgetary savings; develop metrics and reports to assess performance and inform decision-making.
• Serve as liaison to EHS IT and communicate business priorities to support MassHealth Eligibility and Member Services operations related to maintaining and upgrading existing IT systems, implementing new system and ensuring appropriate system access for MassHealth staff.
Preferred Qualifications:
• Extensive knowledge of MassHealth policies, programs and procedures and the ability to integrate this knowledge with new and existing IT systems.
• Familiarity with an enormous number of complex, technical issues, systems and programs affecting Medicaid and its services to members.
• The ability to manage and sustain multiple and complex relationships and ensure that lines of communication are open.
• The ability to work under significant time pressures to meet unanticipated demands.
• The ability to develop effective teams, which share information and work collaboratively to solve problems and make decisions.
• Demonstrated sound judgment with ability to take calculated risks.
• Strong written and oral communication skills.
• Strong quantitative and qualitative analytical skills and attention to detail.
• Ability to work with people from diverse backgrounds.
• Competency with common software applications, such as Microsoft Office.
• Project management planning, integration, coordination and monitoring.
• Planning, convening, directing, supporting and overseeing cross-agency project management teams.
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.
About MASSHEALTH:
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.
For more information about our agency and programs please visit: www.mass.gov/masshealth
Pre-Offer Process:
A criminal and tax history 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.
Qualifications:
MINIMUM ENTRANCE REQUIREMENTS:
Applicants must have at least (A) seven (7) 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 of which (B) at least three (3) years must have been in a managerial capacity.
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!
An Equal Opportunity / Affirmative 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. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.