MassHealth
Healthcare
DeputyDirectorProgramIntegrity
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“Deputy Director Program Integrity at MassHealth”
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Full Job Description
MassHealth is the Medicaid and CHIP plan for Massachusetts, providing access to healthcare services to approximately 2 million low-income and disabled residents of the Commonwealth. MassHealth is responsible for a ~$22 billion annual budget comprised of insurance premiums, payments for healthcare services, payments for pharmaceutical therapies, administrative expenses, and more. The Program Integrity Unit is a highly strategic function within MassHealth that sets the standard for financial stewardship. Program Integrity leads and coordinates efforts related to identifying, preventing and mitigating fraud, waste and abuse (FWA) across the MassHealth program and ensuring Commonwealth resources are utilized appropriately in support of MassHealth members. The team is led by the Director of Program Integrity, who reports to the Deputy Medicaid Director, and consists of 13 internal staff members and dozens of contractors ($50M+ in annual contract value). MassHealth currently works in a hybrid in-person and virtual environment, with headquarters located in downtown Boston. MassHealth is seeking qualified applicants for the position of Deputy Director of Program Integrity . Reporting to the Director of Program Integrity, the Deputy Director will play a vital role in the design and alignment of program integrity strategic priorities and directly manage projects with high visibility and significant policy and financial impact. The Deputy Director will be expected to maintain a broad strategic view across program integrity teams and build strong relationships across the MassHealth functional areas, across EOHHS, and with interagency partners, in order to influence outcomes and maintain momentum of initiatives. In this role, the Deputy Director will convene cross-functional teams including representatives from program teams, policy, strategy, and legal to execute key strategic initiatives . The Deputy Director will also manage MassHealth program integrity external communicati
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