The Massachusetts Health Policy Commission (HPC) seeks an Associate Director to lead Massachusetts’ annual review of payer and provider spending performance relative to the state’s health care cost growth benchmark and oversee any performance improvement plans (PIPs) required by the HPC. This is an opportunity for a motivated and experienced leader with subject matter expertise in health care payer and provider performance and an interest in improving health care market functioning to contribute to the nation-leading work of the HPC.
The Associate Director will oversee all stages of PIPs, including annually evaluating payer and provider spending performance to assess whether a PIP is warranted, engaging closely with any payer or provider required to implement a PIP throughout the PIP implementation period, leading the evaluation of PIP proposals and measurement plans, supervising ongoing implementation monitoring, and directing the final evaluation of the success of any PIP. The Associate Director will also contribute to the agency’s overall policy and research agenda to improve the performance of the Massachusetts health care market in delivering high-quality, cost-effective, equitable care.
The Associate Director will join a talented team of analysts, policy experts, and attorneys in the Market Oversight and Transparency (MOAT) department who have helped craft this first-in-the-nation process and recently completed evaluation of the state’s first performance improvement plan. The Associate Director will report directly to the Senior Director of Market Oversight and Transparency.

Duties of the position may include, but are not limited to:

• In close collaboration with agency leadership, managing annual investigations of health care provider and payer performance relative to the health care cost growth benchmark in Massachusetts to assess whether a performance improvement plan is warranted and overseeing the implementation and evaluation of any performance improvement plans that are required;
• Directing analyses by HPC staff and external consultants and collaborating to refine results, including analyses of spending, pricing, utilization, patient health risk and demographics, financial condition, market position, strategies to reduce spending, and more;
• Leading engagement with payers and providers in Massachusetts regarding their performance, including developing requests for data and information;
• Drafting and editing evaluation reports and other written work products, presentations, and summary materials regarding Performance Improvement Plans and other work products relating to health care market functioning;
• Developing recommendations for HPC leadership and Commissioners;
• Presenting findings and recommendations to colleagues, agency leadership, the HPC’s Board of Commissioners, and the public;
• Managing a project-based team comprised of HPC staff and external consultants;
• Participating in the development and achievement of agency strategic and research objectives as they relate to payer and provider spending performance and health care market oversight;
• Publicly representing the work of the agency to policy leaders, advocates and stakeholders, including developing and maintaining relationships with relevant national, state, and local organizations to support the HPC’s work, coordinating with other state agencies, and representing the HPC at state-wide, regional, and national conferences and events.

The HPC operates a hybrid work schedule, with employees splitting their time between the downtown Boston office and remote work.

Desired Qualifications:

• At least 6 years of relevant full-time or equivalent part-time professional experience in health care administration, health care law, health care policy, business administration, or related fields, which has equipped the applicant with the competencies, knowledge, skills, and abilities to succeed in the position;
• Excellent communication and relationship management skills, including experience presenting to large audiences and facilitating complex and multi-faceted discussions with stakeholders;
• A working knowledge of the Massachusetts health care landscape and familiarity with key stakeholders, including state agencies, provider organizations, and payers;
• Experience overseeing or conducting actuarial, financial, or economic analyses, preferably evaluating payer and/or provider performance in managing the total cost of care for a defined patient population;
• Experience managing complex, high-profile matters, including effective communication regarding sensitive matters and handling of confidential information;
• Excellent analytic and writing skills, including the ability to interpret and distill complex information into succinct products, and to tailor communication for various audiences;
• The ability to balance multiple and competing priorities in a fast-paced work environment;
• A commitment to fostering an inclusive workplace that promotes collaboration amongst diverse viewpoints, facilitates cooperation and teamwork, and supports constructive resolution of conflicts;
• A strong interest in public service and desire to advance a more transparent, accountable, and equitable health care system for all Massachusetts residents.

Candidates must be eligible to work in the United States.

• In close collaboration with agency leadership, managing annual investigations of health care provider and payer performance relative to the health care cost growth benchmark in Massachusetts to assess whether a performance improvement plan is warranted and overseeing the implementation and evaluation of any performance improvement plans that are required;
• Directing analyses by HPC staff and external consultants and collaborating to refine results, including analyses of spending, pricing, utilization, patient health risk and demographics, financial condition, market position, strategies to reduce spending, and more;
• Leading engagement with payers and providers in Massachusetts regarding their performance, including developing requests for data and information;
• Drafting and editing evaluation reports and other written work products, presentations, and summary materials regarding Performance Improvement Plans and other work products relating to health care market functioning;
• Developing recommendations for HPC leadership and Commissioners;
• Presenting findings and recommendations to colleagues, agency leadership, the HPC’s Board of Commissioners, and the public;
• Managing a project-based team comprised of HPC staff and external consultants;
• Participating in the development and achievement of agency strategic and research objectives as they relate to payer and provider spending performance and health care market oversight;
• Publicly representing the work of the agency to policy leaders, advocates and stakeholders, including developing and maintaining relationships with relevant national, state, and local organizations to support the HPC’s work, coordinating with other state agencies, and representing the HPC at state-wide, regional, and national conferences and events