[Remote] MassHealth Program Manager

Note: The job is a remote job and is open to candidates in USA. Mass General Brigham Health Plan is hiring a MassHealth Program Manager to support the day-to-day administration and operations of its MassHealth line of business. The role coordinates regulatory reporting, operational processes, stakeholder communications, governance activities, and MassHealth-related initiatives to support contractual compliance and organizational objectives.

Responsibilities

• Coordinate assigned MassHealth operational activities and initiatives by maintaining timelines, tracking deliverables, documenting progress, and following up with stakeholders to support the timely completion of work
• Prepare, compile, and submit routine MassHealth regulatory reports and contractual deliverables, including quarterly, semi-annual, annual, and ad hoc submissions, in accordance with established requirements and timelines
• Receive, track, and distribute MassHealth communications to appropriate stakeholders; monitor responses and follow-up activities; and escalate issues requiring management review or decision-making
• Coordinate governance, committee, and meeting activities by scheduling meetings, preparing materials, documenting meeting outcomes, maintaining action-item logs, and supporting follow-up activities
• Support MassHealth operational processes, including benefit and reimbursement updates, bulletin and transmittal tracking, redetermination activities, member assignment processes, provider enrollment coordination, PIDSL maintenance, practice closure activities, discharge tracking, and related system updates
• Maintain reporting calendars, submission schedules, templates, process documentation, and departmental records to support compliance with -MassHealth contractual requirements
• Assist internal stakeholders in collecting information, monitoring operational activities, and coordinating follow-up actions related to quality, health equity, care management, member experience, provider operations, finance, community partner performance, and MGB ACO initiatives
• Maintain shared resources, systems access, and departmental tools, including OnBase, POSC, Virtual Gateway, SharePoint, Teams sites, reporting libraries, and reference materials
• Produce routine reports, maintain operational data and documentation, and support leadership in monitoring departmental performance and compliance activities
• Identify operational issues, process gaps, or delays and communicate findings to leadership for review and guidance
• Performs other duties as assigned
• Complies with all policies and standards

Skills

• Bachelor's Degree required; experience can be considered in lieu of a degree
• At least 3-5 years of experience in project or program management required
• Excellent interpersonal and communication skills, with the ability to engage and collaborate with staff at all levels
• Excellent project/program management skills, including planning, scheduling, budgeting, and risk management, with the ability to effectively coordinate and delegate tasks, manage timelines, and drive results
• Strong analytical and problem-solving abilities, with attention to detail and accuracy
• Effective communication and interpersonal skills, with the ability to manage relationships with diverse stakeholders
• Proficiency in Microsoft Office Suite (including SharePoint, Excel, PowerPoint, Teams, Copilot) and data management software
• Ability to work collaboratively in a team environment
• At least 1-2 years of experience with Medicaid, MassHealth, or government programs preferred
• At least 1-2 years of experience managing reporting processes and compliance workflows preferred

Benefits

• Flexible work options
• Career growth opportunities
• Bonuses, as applicable
• Recognition programs

Company Overview

Company H1B Sponsorship