Medicare Advantage Program & Innovation Operations Director

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.

Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.

We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.

The Medicare Advantage Program Innovation & Operations Director is responsible for managing the annual Medicare Advantage implementation process, large complex Medicare Advantage-related projects as well as strategic business initiatives from the initial evaluation phase through project implementation to meet the business needs of the Medicare line of business. The role reports to the Vice President of Medicare Advantage Sales & Product for Mass General Brigham Health Plan.

The position leads the organization in developing innovative plans to align organizational objectives and targets. This includes developing and meeting project objectives within established timelines, and managing associated risks. The Medicare Advantage Program Innovation & Operations Director works with consultants, vendors, internal & external customers, subject matter experts, and cross functional teams. Responsibilities include providing periodic updates and reports to leadership. This position will work directly with sponsors and key stakeholders to mobilize and motivate teams. This position is responsible for guiding the direction and approach for the team, resolving conflict and executing plans with limited information and ambiguity.

Responsibilities:

• Develop and maintain project plan for annual Medicare Advantage implementation efforts
• Provide frequent updates to the Vice President, Medicare Advantage Sales & Product and periodic updates to Senior Leadership Team related to important Medicare Advantage projects
• Develop detailed project work plans for projects involving multiple functional areas and manage projects efficiently to implement solutions to support the company's business needs.
• Conduct business and project planning, issue tracking/ resolution, and overall management of a project teams.
• Work with internal & external customers to understand issues and recommend and vet solutions, resolve conflict, and manage the project objectives & target dates.
• Initiate and facilitate key planning meetings within functional areas or across cross-functional teams.
• Collaborate with stakeholders to define solutions, scope, requirements, business processes, delivery approach and implementation plan parameters.
• Effectively use tools to increase effective brainstorming & decision making amongst project teams.
• Develop workflow & process flow diagrams to help identify improvement opportunities and collaborate with IT for implementing automated solutions.
• Provide project leadership guidance to staff as needed for successful & timely project execution.
• Mentor on effective project management techniques and improving developing behavioral competencies.
• Hold self and others accountable to meet commitments.
• Ensure diversity, equity, and inclusion are integrated as a guiding principle.
• Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
• Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.
• Other duties as assigned with or without accommodation.

Qualifications:

• Bachelor’s degree required or the equivalent combination of training and experience, plus 7+ years of related experience.
• Prior experience working cross-functionally in Medicare Advantage plan.
• Strong project management skills.
• Exceptional communication skills.
• Ability to understand ambiguous problems, help frame issues to cross-functional stakeholders and facilitate discussions to drive to solutions
• Strong ability to influence without formal authority

Skills/Abilities/Supervisory Responsibilities:

• Demonstrate Mass General Brigham Health Plans core brand principles of always listening, challenging conventions, and providing value.
• Bring fresh ideas forward by listening to and working with employees and the people we serve.
• Respect the talent and unique contributions of every individual and treat all people in a fair and equitable manner.
• Strong, demonstrated track record of an ability to execute on time, on budget, and on scope.
• Strong aptitude for technology-based solutions.
• Ability to inject energy, when and where it’s needed.
• Current in healthcare trends.
• Demonstrated forward, visionary thinking; ability to see “what is” and envision “what could be.”
• Ability to develop, introduce, defend, and gain support for a new ideas and approaches.
• Excellent leadership skills and leadership track record.
• Ability to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Strong verbal, active listening, and written communication skills required.
• Ability to view the long-range trends and cycles of the business and industry and see the “big picture.”
• Ability to apply a variety of strategic frameworks to analyze problems and to guide and develop solutions.
• Ability to challenge the status quo and drive innovative thinking and the capability to successfully implement strategy.
• Excellent interpersonal skills, including the ability to influence others at all levels of an organization.
• Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.
• Unquestionable integrity.
• Provides guidance to Network Management teams based on organizational goals and company policy.
• Motivates and encourages staff; leads through change and adversity. Makes decisions as needed and builds consensus as appropriate. Communicates and cascades information to employees in a timely manner and actively participates in the success of cross-organizational programs and initiatives.
• Sets clear goals and objectives and uses metrics to measure performance and hold staff accountable. Provides coaching to improve performance and holds regular development discussions with direct reports. Recognizes staff for their contributions.
• Inform, engage, inspire, motivate, and actively listen to employees.
• Make decisions that put the needs of the people we serve—our members, providers, brokers, and employers—front and center.
• Communicate and cascade information to employees in a timely manner and actively participate in the success of cross-organizational programs and initiatives.
• Identify/create processes and align resources to accomplish key objectives; clearly convey and assign clear accountability for important objectives, deadlines, and expectations.
• Hire, participate in, and/or recommend development measures and disciplinary actions up to and including termination; evaluate performance and supervise the work of all direct and indirect reports following established organizational policies, procedures, and practices.
• Set clear goals and objectives, use metrics to measure performance, and hold employees accountable. Provide coaching to improve performance and holds regular development meetings.
• Ensure diversity, equity, and inclusion are integrated as a guiding principle.

Diversity Statement

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

EEO Statement

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. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

Disclaimer

The above statements are intended to describe the general nature and complexity of the work being performed by personnel assigned to this classification and do not represent an exhaustive list of all tasks, duties, and responsibilities required of personnel assigned to this position.