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Company

WellSense Health Plan · 6 hours ago

Senior Program Manager, Health Equity

Boston, MA

Contract

Remote

Senior Level

5+ years exp

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Hospitals and Health Care

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Responsibilities

Assists in annual health equity analysis on prioritized populations and helps lead WellSense Health Plan advocacy efforts externally

Performs and manages risk assessments and audits to ensure health equity compliance with governing bodies, contracts, federal and state regulations and industry standards

Collaborates with health equity leadership to develop member-focused interventions that address systemic barriers to equitable access and cultural competence and helps design inclusive solutions

Accountable for communicating compliance standards and updates on new, relevant or evolving laws to key stakeholders and business areas (Federal and State regulations, CMS, contractual obligations for new products, etc.)

Facilitates and plans standing Health Equity workgroup meetings with key stakeholders to share best practices and health equity tactics that improve health outcomes

Represents Health Equity team and serves as an extension of the Director of Health Equity Strategy as needed

Manages effective internal working relationships and trust across stakeholders and senior leaders

Ensures accurate prioritization of key health equity and inclusion projects/programs and informs the incorporation of tailored intervention strategies

Serves as a WellSense representative and member of Boston Medical Center’s Health Equity Accelerator and partners closely with BMC Population Health team

Communicates audit findings to leadership in clear and concise format including reports and dashboards

Follows up on open issues, and facilitates business processes to ensure timely closure and remediation

Other duties as assigned

Support the Health Equity Director with WellSense’s commitment to implement and evolve programs and initiatives that identify and reduce implicit, explicit, societal and institutional factors resulting in health disparities in underserved communities.

Identify and measure progress of health equity goals, initiatives, and strategies to ensure success and accountability by creating metrics for measuring health equity programs, initiatives and strategies.

Build collaborative partnerships across WellSense to increase organizational agility and identify business levers to advance new health equity initiatives.

Support Health Equity quality and ensure alignment of health equity programs, strategies and initiatives with NCQA Health Equity Accreditation requirements

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Health equity expertiseHealthcare administrationPublic healthAudit standardsProcess improvementsCLAS StandardsNCQA Health Equity AccreditationChange managementProject management

Required

Bachelor’s degree in healthcare administration, public health, or an equivalent combination of education, training and experience.

5-7 years of health plan experience related to health equity, population health, or healthcare services, or quality.

Experience leading organization-wide policies, programs, or services.

Understanding of general audit standards.

Experience with process improvements and conducting needs/risk assessments.

Experience with diversity, equity, and inclusion in health plans.

Successful completion of pre-employment background check.

Analytical skills and ability to assess risks.

Ability to be organized and prioritize multiple tasks and assignments in order to meet deadlines.

Strong work ethic, initiative, teamwork, and flexibility to assist department in meeting organizational goals.

Interpersonal skills, including the ability to influence others and establish credibility with stakeholders.

Demonstrated critical thinking skills having identified and solved business problems.

Excellent interpersonal and communication skills (both verbal and written) required to effectively maintain strong working relationships with internal and external colleagues.

Ability to deal with ambiguity and change within a fast-paced environment.

Demonstrated ability to perform in a matrixed environment.

Able to summarize complex issues/processes simply & effectively and communicate these across teams.

Effective collaborative and proven process improvement skills.

Strong oral and written communication skills; ability to interact within all levels of the organization.

Demonstrated ability to successfully plan, organize and manage audit projects.

Detail oriented.

Demonstrated Learning Agility.

Basic understanding of Change Management.

Ability to work East Coast business hours.

Regular and reliable attendance is an essential function of the position.