Upvote
Downvote
Associate Medical Director, OLTSS (Hybrid)
Share Job
- Suggest Revision
Full-time
- Serve as a clinical lead in MassHealth LTSS quality, affordability and patient experience performance improvement efforts.
- Assist the Director of OCA or designee, and the Chief of MassHealth OLTSS by providing clinical input and leadership in the development, implementation, and overall performance management of clinical policy and quality strategy for MassHealth’s LTSS initiatives, including Dual Integrated Care Programs One Care, SCO, and PACE.
- Strengthen collaboration with Managed Care Entities (MCE) to optimize the quality of care, member experience, affordability and overall performance for MassHealth members attributed to One Care, SCO and PACE.
- Participate in OCA activities to monitor, report upon, and make recommendations regarding equity, quality, clinical and cost-effectiveness of MassHealth programs, including quality assurance and critical incident reviews for all LTSS programs, including integrated care management programs and related performance improvement initiatives, and provide recommendations to programs managers in designing and operationalizing program improvements.
- o Partnering with other EOHSS agencies and programs to improve cross-agency alignment with the goal of delivering an optimal integrated care experience for MassHealth members enrolled in SCO, One Care and PACE;
Active Job
Updated TodaySimilar Job
Relevance
Active