Chief, Office Of Payment And Care Delivery Innovation
Masshealth, Executive Office Of Health And Human Services
--Manages all MassHealth programs that enroll beneficiaries who have MassHealth as their primary insurance (~1.2M lives and ~20 ACO/MCO contracts) --Leads annual rate negotiations, manages performance on contracts worth ~$6B --Directs implementation, oversees performance, and manages the federal (CMS) relationship for MassHealth’s landmark 2016 Waiver (1115 Demonstration), including: --MassHealth’s first program for Accountable Care Organizations (ACOs) --Cutting-edge Community Partners and Flexible Services Programs, which integrate physical health, behavioral health, long-term services and supports, and social services like nutrition and housing for the highest-risk members --Delivery System Reform Incentive Program (DSRIP), one of 13 such programs nationally, including $1.8B of dedicated federal investment--Leads MassHealth’s strategy and policy development on the future of these programs, and leads the development and federal negotiation of MassHealth’s 1115 renewal--Serves on MassHealth’s Executive Team, including leading roles in the agency’s workplace anti-racism, professional development, and COVID-19 response efforts--Experienced manager of 50+ FTE, multi-million dollar vendor support contracts