Job Description

Location: Steward Health Care Network
Posted Date: 1/14/2020

Steward Health Care Network (SHCN) takes pride in its community-based care model, which drives value-added tools and services to our communities, patients, physicians, and hospitals across the continuum of care. In addition, Steward Health Care Network promotes care coordination and collaboration within the network in order to provide high-quality, efficient care to patients. With Steward in the community, all residents can be sure that there is a world class doctor close to where they live.

The network is also responsible for the implementation and execution of our managed care contracts, medical management services, quality improvement programs, data analysis, and information services.

Position Purpose:

The Medicaid ACO Program Specialist is responsible for supporting the implementation, operation, and improvement of the Medicaid ACO program

  • The Program Specialist plans and oversees multiple, inter-related, complex projects to drive performance improvements for Steward’s Medicaid population and programs, under the direction of senior leadership
  • Creates, interprets, and disseminates information across multiple internal and external stakeholders
  • Coordinates with program leads and prepares financial opportunity and risk analyses to recommend initiatives to senior leadership
  • Models and performs ad hoc analyses for the purpose of understanding the historical and future performance of initiatives
  • Monitors, interprets and reports on changes in performance, market trends, health care delivery systems and legislative initiatives which impact program efforts (e.g., EOHHS regulations, Massachusetts Health Care Reform, CMS rule-making)
  • Provides support for the key Steward Medicaid Care Network (SMCN) leadership meetings, including SMCN Board and Operations Committee meetings
  • Facilitates and operationalizes relationships with external organizations, including vendors, the Executive Office of Health and Human Services, and large group practices

Education / Experience / Other Requirements

Education:

  • Bachelor’s degree
  • Master’s degree beneficial

Years of Experience:

  • At least two years’ work experience, preferably in health care, public policy, or a related field

Work Related Experience:

  • Health Care industry experience preferred, especially Medicaid-related
  • Experience working in a fast-paced, matrixed organization

Specialized Knowledge:

  • Knowledge of Medicaid rules and regulations preferred
  • Knowledge of healthcare programs & operations, including Accountable Care Organizations preferred
  • Microsoft office applications, advanced skills in Excel, PowerPoint, and Word

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 Online