Associate Director for Performance Improvement Plans

Company: Massachusetts Health Policy Commission
Location: Boston
Posted on: April 6, 2025

Job Description:

The seeks an Associate Director to lead Massachusetts' annual review of payer and provider spending performance relative to the state's health care cost growth benchmark and oversee any (PIPs) required by the HPC. This is an opportunity for a motivated and experienced leader with subject matter expertise in health care payer and provider performance and an interest in improving health care market functioning to contribute to the nation-leading work of the HPC.The Associate Director will oversee all stages of PIPs, including annually evaluating payer and provider spending performance to assess whether a PIP is warranted, engaging closely with any payer or provider required to implement a PIP throughout the PIP implementation period, leading the evaluation of PIP proposals and measurement plans, supervising ongoing implementation monitoring, and directing the final evaluation of the success of any PIP. The Associate Director will also contribute to the agency's overall policy and research agenda to improve the performance of the Massachusetts health care market in delivering high-quality, cost-effective, equitable care.The Associate Director will join a talented team of analysts, policy experts, and attorneys in the who have helped craft this first-in-the-nation process and recently completed evaluation of the state's . The Associate Director will report directly to the Senior Director of Market Oversight and Transparency.Duties of the position may include, but are not limited to:

• In close collaboration with agency leadership, managing annual investigations of health care provider and payer performance relative to the in Massachusetts to assess whether a performance improvement plan is warranted and overseeing the implementation and evaluation of any performance improvement plans that are required;
• Directing analyses by HPC staff and external consultants and collaborating to refine results, including analyses of spending, pricing, utilization, patient health risk and demographics, financial condition, market position, strategies to reduce spending, and more;
• Leading engagement with payers and providers in Massachusetts regarding their performance, including developing requests for data and information;
• Drafting and editing evaluation reports and other written work products, presentations, and summary materials regarding Performance Improvement Plans and other work products relating to health care market functioning;
• Developing recommendations for HPC leadership and Commissioners;
• Presenting findings and recommendations to colleagues, agency leadership, the HPC's Board of Commissioners, and the public;
• Managing a project-based team comprised of HPC staff and external consultants;
• Participating in the development and achievement of agency strategic and research objectives as they relate to payer and provider spending performance and health care market oversight;
• Publicly representing the work of the agency to policy leaders, advocates and stakeholders, including developing and maintaining relationships with relevant national, state, and local organizations to support the HPC's work, coordinating with other state agencies, and representing the HPC at state-wide, regional, and national conferences and events.The HPC operates a hybrid work schedule, with employees splitting their time between the downtown Boston office and remote work.Desired Qualifications:
• At least 6 years of relevant full-time or equivalent part-time professional experience in health care administration, health care law, health care policy, business administration, or related fields, which has equipped the applicant with the competencies, knowledge, skills, and abilities to succeed in the position;
• Excellent communication and relationship management skills, including experience presenting to large audiences and facilitating complex and multi-faceted discussions with stakeholders;
• A working knowledge of the Massachusetts health care landscape and familiarity with key stakeholders, including state agencies, provider organizations, and payers;
• Experience overseeing or conducting actuarial, financial, or economic analyses, preferably evaluating payer and/or provider performance in managing the total cost of care for a defined patient population;
• Experience managing complex, high-profile matters, including effective communication regarding sensitive matters and handling of confidential information;
• Excellent analytic and writing skills, including the ability to interpret and distill complex information into succinct products, and to tailor communication for various audiences;
• The ability to balance multiple and competing priorities in a fast-paced work environment;
• A commitment to fostering an inclusive workplace that promotes collaboration amongst diverse viewpoints, facilitates cooperation and teamwork, and supports constructive resolution of conflicts;
• A strong interest in public service and desire to advance a more transparent, accountable, and equitable health care system for all Massachusetts residents.Candidates must be eligible to work in the United States.Compensation and BenefitsSalary Range$110,000-$130,000 annuallySalary is commensurate with experience. The HPC may adjust title, responsibilities, and salary depending on the experience and expertise of the individual selected.BenefitsThe HPC offers an outstanding and comprehensive package of employee benefits which should be considered toward overall compensation. These include:
• 12 paid holidays per year and generous sick, vacation, and personal time
• 75% state paid medical insurance premium
• Health, dental, and vision plans offered through the Group Insurance Commission
• Flexible Spending Account, Dependent Care Assistance, and Commuting Assistance programs
• Low-cost basic and optional life insurance
• Retirement savings: State Employees' Pension and a Deferred Compensation 457(b) plan
• Tuition benefit for employee and spouse at state colleges and universities
• Extended sick leave program participation
• Professional development and continuing education opportunities
• Qualified employer for Public Service Student Loan Forgiveness program
• A suite of well-being benefitsOur Commitment:The HPC is committed to a policy of non-discrimination and equal employment opportunity. We recognize that diversity in the workplace is a source of strength, vital to its ability to effectively advance its mission. The HPC is committed to:
• Actively promoting diversity in our workforce, including greater racial and ethnic diversity, at all levels of the organization;
• Fostering a work environment in which all employees are inspired to do their best, strengthened by their different perspectives, backgrounds, and experiences;
• Ensuring that no employee's growth, achievement, or advancement is hindered because of race, ethnicity, sex, sexual orientation, religion, age, genetic information, gender identity, pregnancy, veteran status, or disability;
• Holding ourselves to a high standard of inclusion and opportunity that will serve as a model for other public and private employers throughout the Commonwealth;
• Promoting our core values of equal opportunity, equal justice, and inclusion in HPC actions and initiatives.
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Keywords: Massachusetts Health Policy Commission, Boston , Associate Director for Performance Improvement Plans, Executive , Boston, Massachusetts