Baystate Health · 14 hours ago
Program Coordinator HNE BeHealthy ACO
Springfield, Massachusetts
Full-time
Onsite
Entry, Mid Level
$28.73/hr - $39.05/hr
2+ years expBaystate Health is a healthcare organization seeking a Program Coordinator for the HNE BeHealthy ACO. The role involves supporting the operations and growth of the Medicaid community-based accountable care model, ensuring programmatic success, and collaborating with clinical teams to manage a designated population effectively.
DeliveryFitnessHealth CareHospitalMedical DeviceStaffing Agency
Responsibilities
Contribute and assist CM leadership with strategic program growth and development: Demonstrates understanding of clinical program elements, payment and cost structure, clinical volumes, market forces and operational structure for program success. Integrates, aligns, and synthesizes program plans across traditional departmental lines, in accordance with both NCQA and MassHealth contractual requirements
Contribute and assist CM leadership with HNE BeHealthy ACO Care Management Quality Program: Regular oversight and management of the NCQA and MassHealth quality program requirements and quality measurements. Assist as a key contributor to ongoing participation of staff in applying the principle/model of continuous improvement to improve existing processes and enhance the effective utilization of resources
Contribute and assist CM leadership with Contract knowledge / Accrediting body content expertise: Keen awareness of contractual agreement expectations for both NCQA and MassHealth auditing entities, ensuring compliance with all quality and operational details included within each regulatory body. Presents self as a resource to all team members for contractual related workflows and operational practice functions
Operations and Programmatic Work: Monitor effectiveness of current workflows and productivity related to each BeHealthy ACO CM team. Responsible for day to day operational functions of the CM program related to volume of care managed patients, oversight of care management community partners and services available to care managed patients, and responsible for establishing and maintaining strong collaborations with current and future external partners
Data Analytics: Demonstrates knowledge and functional ability in collection and oversight of weekly/ monthly productivity data for all teams. Creation and maintenance of a CM dashboard, including key metrics demonstrating operational effectiveness, opportunities for improvement, and best practice of maximizing resources and skills of the teams. Provide education to both leaders and team members regarding interpretation of data, including next best steps related to data outcomes
Health New England Partnership: Functions as key participant and liaison in fostering ongoing collaborations with all HNE partners related to the BeHealthy ACO CM program. Point of contact for all related care management operational functions, communications (i.e. announcements, newsletters), education needs, and all other ACO CM needs. Serves as a main resource between HNE and CM leadership
Care Management Education: Functions as key participant with both ongoing educating and orienting new team members upon hire. Ensures new team members are well equipped with an orientation plan encompassing all aspects of their role, and are set up for success with the tools and resources needed. Works collaboratively with clinical CM managers in providing the needed onboarding, education, shadowing opportunities, and any/all other resources to create well rounded and knowledgeable team members
Administrative Support: Provides administrative support and collaboration to ACO CM leadership as needed. Meets on a regular basis with CM leadesrhip to coordinate and assist in planning departmental meetings and agendas related to the success of the CM team. In conjunction with CM leaders, acts as a key communicator to all CM teams, ensuring communications are well shared and understood by teams. Functions as the key CM spokesperson as needed to all internal/external partners to ensure program success
Qualification
Required
Demonstrates understanding of clinical program elements, payment and cost structure, clinical volumes, market forces and operational structure for program success
Integrates, aligns, and synthesizes program plans across traditional departmental lines, in accordance with both NCQA and MassHealth contractual requirements
Regular oversight and management of the NCQA and MassHealth quality program requirements and quality measurements
Keen awareness of contractual agreement expectations for both NCQA and MassHealth auditing entities, ensuring compliance with all quality and operational details included within each regulatory body
Monitor effectiveness of current workflows and productivity related to each BeHealthy ACO CM team
Responsible for day to day operational functions of the CM program related to volume of care managed patients
Demonstrates knowledge and functional ability in collection and oversight of weekly/ monthly productivity data for all teams
Functions as key participant and liaison in fostering ongoing collaborations with all HNE partners related to the BeHealthy ACO CM program
Functions as key participant with both ongoing educating and orienting new team members upon hire
Provides administrative support and collaboration to ACO CM leadership as needed
Excellent oral, written, and presentation communication skills
Excellent interpersonal skills
Excels at both working independently and in a team-oriented, collaborative environment
Able to conform to shifting priorities and timelines through analytical and keen problem solving capabilities
Excellent data analytics skills
Excellent computer skills and ability
2 years of related experience
Bachelor of Arts (Required)
Company
Baystate Health
Baystate Health is an integrated health care delivery system serving a population of nearly one million people in western Massachusetts.
10001+ employees
H1B Sponsorship
Baystate Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (2)
2023 (2)
2022 (5)
2020 (3)
Funding
Current Stage
Late StageTotal Funding
$3.9MKey Investors
Massachusetts Life Sciences Center
2023-10-04Acquired
2019-06-03Grant· $3.9M
Leadership Team
Peter D. Banko
CEO
Marion Mcgowan
Executive Vice President | Chief Operating Officer
Recent News
2026-01-14
2025-11-05
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