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.
The Population Health Management (PHM) department at Mass General Birgham aims to deliver health and healthcare for all by translating the evolving needs of the healthcare landscape into innovative solutions to better serve individuals, communities, and organizations.
In the healthcare industry, we are in a time like no other. Experts estimate that healthcare will evolve more in the next few years than it has in the last 50 years. We have seen governments, employers, and families struggle in the face of rising healthcare costs and a fragmented healthcare system. Patients and communities need more convenient, more affordable, and higher quality care.
We are building a team that can reimagine healthcare and design care models that meet the needs of the people we serve. We are bringing a fresh perspective and a unique approach to create impact for the greater good. By bringing together people from various disciplines and ideas from different industries, we're seeking to address the complex challenges within our healthcare system and leaning forward into a new era of healthcare.
The Senior Program Manager in Risk Capture will lead efforts to support our system's transition to Value-Based Care. This position will be responsible for implementing and leading clinical and administrative initiatives focused on helping providers and care teams accurately identify and document the conditions of our patients to better understand their care needs. By knowing our patients better, we can connect them to the resources and care they need. This position reports to the Program Director of Risk Capture and works closely with the Medical Director and RN Clinical Lead of Risk Capture. This person will be responsible for overseeing the launch of several new interventions intended to help optimize diagnosis reconciliation and HCC (hierarchical condition category) risk capture across Mass General Brigham. This position is a hybrid role, with one day onsite requirement in Somerville, MA. Additional travel to MGB sites may be required. This person will have oversight to team members.
Duties & Responsibilities
Lead oversight of program initiatives
Provide leadership and management oversight of programs and staff, creating project roadmaps and strategy for the overall program in coordination with administrative and clinical leadership, management, and Regional Service Organization (RSO) stakeholders.
Partner with Medical Director dyad on program strategy and operations.
Operate with significant autonomy and discretion, but know when to escalate potential problems to Leadership
Participate and accept ownership for cross-department initiatives
Anticipate, identify, and drive resolution of program challenges to prevent downstream problems.
Delegate project related deliverables including project plans, PowerPoint presentations, status reports, meeting minutes, issue/risk logs, and meeting facilitation documents.
Independently develop material and communicate updates, findings, and recommendations to internal program steering committees, network committees and audiences outside of Population Health.
Contribute relevant information to Program Leadership for budget development.
Maintain a working knowledge of current evidence-based guidelines, national trends and developments in value-based care and population health, as well as other best practices. Occasionally present at external venues.
Build and encourage strong team culture through effective leadership
Provide leadership and oversight in a way that promotes a supportive, respectful environment that includes training, appropriate delegation, accountability, and growth opportunities.
Lead hiring and on-going performance management of direct reports and continuously work to develop talent, helping staff meet both their aspirational goals and the organization's needs, providing opportunities for coaching, feedback, exposure and stretch assignments to encourage employee engagement.
Promote continuous improvement within the team.
Use data and analytics to drive decision making
Develop methodologies for evaluating and tracking the success of interventions and quality improvement initiatives, completing quantitative and qualitative analysis to support program objectives.
Complete quantitative and qualitative analysis to support the objectives of assigned projects.
Interpret and summarize data using charts, graphics and text to ensure key findings are appropriately communicated in presentations and other methods.
Foster collaborative relationships with customers and stakeholders
Develop effective relationships within PHM, and with clinical and administrative leaders across the MBG entities
Collaborate with administrative, clinical leaders and other key stakeholders to support population health management programs and performance improvement initiatives, understanding structured and unstructured data to determine insights and implement evidence-based interventions across stakeholder group.
Present ideas, updates, findings, reports, recommendations, data, and analysis to various central and local audiences to build consensus on program initiatives
Use Mass General Brigham healthcare values to govern decisions, actions, and behaviors
These values govern 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
Other duties as assigned
Bachelor's degree with 8+ years experience in Risk Adjustment, Managed Care, or Healthcare Administration (Masters preferred).
Strong organizational and project management/operations responsibilities experience required, preferably in a healthcare setting
Proficient with MS Office Suite
Familiarity of Risk Adjustment in Value-Based Contracts and experience with engaging and guiding provider networks in optimizing HCC capture
Experience in process improvement activities preferred.
Experience leading staff
A combination of education and experience may be substituted for requirements
Demonstrated achievement in leading teams with diverse functions and areas of expertise
Strong interpersonal and team building skills. Ability to get work done through others, even if there is no direct reporting relationship
Flexible and adaptable within a complex, multi-site environment with changing requirements when the big picture is not always clearly defined
Commitment to high quality service and attention to detail
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.