Dir, Quality & Equity MassHealth

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Dir, Quality & Equity Mass Health Job Number
:
Category: Management
Location
:
North Quincy, MA
Shift: Day
Exempt/Non-Exempt: Exempt
Business Unit: For Health Consulting
Department: For Health Consulting - Office Of Clinical Affairs - W401300
Job Type: Full-Time
Union Code: Non Union Position
-W60
- Non Unit Professional
Num. Openings
: 1
Post Date
:
Aug. 6, 2025

The Director of Quality and Equity for Mass Health supports the Office of Clinical Affairs and Mass Health teams in the development and implementation of quality and equity programs including a broad range of quality measures to ensure compliance and promote quality for all applicable stakeholders, including state, federal, Accountable Care Organizations (ACOs), Managed Care Organizations (MCOs), acute hospitals, and members.

The Director of Quality and Equity Mass Health reports to the Mass Health Chief Medical Officer/Director of the Office of Clinical Affairs (OCA) or their designee. Provides leadership in the development, implementation, and management of quality and equity programs with robust reporting mechanisms and performance improvement related to a broad range of ACO, MCO, and acute hospital-related quality activities. Serves as a thought leader on population health management as relates to quality and performance improvement.

• In conjunction with Mass Health leadership, responsible for the development and ongoing implementation and evolution of robust reporting mechanisms to track, monitor and report on Mass Health health quality- related performance (i.e., aggregate and disaggregated quality of care, access, member experience measures.)
• Design, implement and maintain Mass Health quality and equity programs.
• Convene Mass Health and OCA teams as relevant to provide ongoing input on quality and equity programs and to ensure alignment with Mass Health quality programs and strategy.
• Design, implement and maintain a robust strategy for measuring quality of care, utilization, and member experience for Mass Health entities including ACOs and MCOs.
• Monitor performance on quality of care, utilization, and member experience measures.
• Analyze quality and equity data in service of program goals.
• Design and implement a quality and equity reporting strategy for internal and external stakeholders in order to:
• Publicly report on quality and equity performance in accordance with applicable regulatory and other requirements.
• Inform Mass Health program and policy development and implementation.
• Support performance management of accountable entities in collaboration with Mass Health contract management staff and teams.
• Lead the development and implementation of Mass Healths internal and external processes and practices for development of quality and equity improvement goals and strategies and implementation of quality and equity improvement action plans for accountable entities in collaboration with Mass Health clinical, contract management, and quality teams as well as with Mass Health providers.
• Lead communication with external stakeholders on quality and equity programs.
• Represent Mass Health on external stakeholder groups related to Mass Health quality and equity programs and lead development of related materials and communications.
• Partner with Mass Health Quality Team and Mass Health contracted vendors to comply with annual and other CMS quality reporting and improvement…