Associate Medical Director, OLTSS (Hybrid)
UMass Med School | |||||||||||
United States, Massachusetts, Boston | |||||||||||
April 26, 2024 | |||||||||||
Associate Medical Director, OLTSS (Hybrid) Minimum Salary
US-MA-Boston Job Location
6 days ago(4/26/2024 8:34 AM)
Overview The Associate Medical Director (AMD) for MassHealth's Office of Long Term Services & Supports (OLTSS), under the direction of the Director of the Office of Clinical Affairs (OCA) or designee, is responsible for providing clinical expertise to OCA and to the MassHealth program staff in the areas of LTSS. MassHealth, the Commonwealth of Massachusetts' Medicaid and Children's Health Insurance Program (CHIP) Program, through its Office of LTSS (OLTSS) provides coverage for a robust broad system of care for members of all ages who need long-term care services to enable them to live with independence and dignity in their daily lives, participate in their communities, and increase their overall quality of life. The AMD will serve as a clinical leader and resource for OCA and EOHHS programs and MassHealth providers to deliver optimal value by improving the quality, efficiency, effectiveness, and appropriateness anchored on the principles of independent living and person-centered care delivered to MassHealth members. The AMD will serve as a thought leader on population health management and the integrated health model, with an eye towards system-wide value enhancements by implementing best practices and technological solutions or other service delivery interventions. Responsibilities Quality & Performance Management * 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. Clinical Strategy, Policy, and Programs * Provide clinical support, subject matter expertise, and clinical leadership to MassHealth OLTSS and OCA. Medical Management * Support and participate in all OCA medical management functions performed on behalf of MassHealth, including but not limited to coverage, medical necessity guidelines, utilization management and program integrity. Professional Duties and Leadership * Provide clinical leadership and mentoring for the OCA and MassHealth staff and work collaboratively with all team members. Qualifications REQUIRED EDUCATION Graduate degree in Public Health, Public Policy, or other advanced degree in business or healthcare related area is desirable. PREFERRED WORK EXPERIENCE |