Our Integrated Network brings together a diversity of experienced private practice and employed physicians as well as community and academic providers. While we are one unified network, we focus on different geographic regions, with local care teams convening to ensure healthy, happy neighborhoods throughout the greater Boston region.

What you will do:

Our new Director Regional Operations for Tufts Medicine Integrated Network (TMIN) reporting to the VP Performance Management will coordinate between the Local Care Organization (LCO) Administrators in the North Region.  You will be responsible for the implementation, monitoring, and measurement of the population health strategy for value-based payment models.Focusing in the areas of Population Health Analytics, Quality Improvement and Total Medical Expense Reduction, you will serve as a partner and support to the Regional Executives, Clinical and Operational leads.  Developing innovative solutions and interventions to improve care and meet contractual obligations by listening to the voice of the providers, practices and patients. 

Role is primarily hybrid with onsite meetings that will include off hours.

What you need  

Minimum Qualifications: 

1. Master’s degree in Healthcare Administration, Business Administration, or another related field. 

2. Ten (10) years of health care experience including experience in: health plans, quality improvement, successful project management, managed care, pay for performance, HEDIS, and efficiency programs. 

3. Five (5) years in progressive management roles. 

Preferred Qualifications: 

1. Twelve (12) years of health care experience including experience in: health plans, quality improvement, successful project management, managed care, pay for performance, HEDIS, and efficiency programs. 

2. Project management experience in healthcare setting (including ambulatory care). 

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.  Other duties and responsibilities may be assigned. 

1. Serves as a key member of the strategic operations team, works collaboratively and provides critical input into the development of the population health strategy and annual quality and performance plans. 

2. Develops, implements, and oversees execution of ongoing quality improvement programs and services. 

3. Serves as point of contact for contract operations team as they develop quality contract strategy and oversees implementation of and communication of quality requirements within payer risk contracts. 

4. Develops and oversees reportable metrics to demonstrate outcomes for the programs and initiatives, tracks trends and monitors performance goals and progress. 

5. Establishes continuous cycles of improvement for network programs. 

6. Provide day-to-day operational leadership for the teams working with the regions, leveraging data insights and close relationships with regional leadership to identify opportunities for performance optimization. 

7. Responsible for managing the team responsible for meeting payer contractual deliverables such as delivery of quality outcomes and written reports.   

8. Oversees a diverse team of professionals with ongoing responsibilities and oversight of regional teams through a highly matrixed organizational structure. 

9. Defines, measures, monitors, and reports our performance through defined governance structures. 

10. Ensures high degree of collaboration with corporate departments including Information Services and Ambulatory Leadership across the system. 

11. Serves as a liaison with Regional Executives, Regional Clinical and Region Operational leads to ensure healthy, thriving and successful practices.   

12. Serves as a liaison to various payers including Medicare Shared Savings Program (MSSP), Medicare Advantage programs, and local and national commercial insurers.   

13. Collaborates and aligns with community partners across the network. 

14. Works with the Chief Medical Officers, Medical Directors, and others as needed to effectively support and facilitate, as assigned, key stakeholder meetings and serves as a key contributor on various committees as needed. 

Physical Requirements:  

1. This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending/descending stairs, and operating office equipment.           

2. Frequently required to speak, hear, communicate, and exchange information.           

3. Ability to see and read computer displays, read fine print, and/or normal type size print and distinguish letters, numbers and symbols.           

4. Requires manual dexterity using fine hand manipulation to operate computer keyboard.   

Skills & Abilities: 

1. Broad knowledge of value-based contracting, payer relationships, and upside and downside risk mitigation. 

2. Broad knowledge and competency in Electronic Health Records. 

3. Workflow knowledge in ambulatory care/provider practice settings. 

4. Excellent written and oral communication skills. 

5. Demonstrated understanding and application of communication and change management techniques. 

6. Ability to establish good working relationships with physicians and practice staff. 

Job Profile Summary 

​This role focuses on developing and implementing programs to establish, maintain, and improve patient quality care standards.  In addition, this role focuses on performing the following Performance Improvement/Quality duties: Identifies and executes performance improvement and quality opportunities across the enterprise, enabling successful transformations and driving cost savings, process and product quality, and achievement of business goals. Responsibilities also include partnering with business leaders to provide expert insight on existing processes and procedures, applies process improvement methodologies to achieve PI/Quality objectives, and builds process improvement capabilities.  A management role that supervises employees focusing on tactical, operational activities within a specified area, with the majority of time spent overseeing area of responsibility, planning, prioritizing and/or directing the responsibilities of employees. Goal achievement is typically accomplished through performance of direct and/or indirect reports.  A role that directs a department or small unit that includes multiple teams led by managers and/or team Leaders.  Responsibilities typically include: ownership of short to mid-term (1-3 years) execution of functional strategy and the operational direction of the Department, problems faced are often complex and require extensive investigation and analysis, and requires ability to influence others to accept practices and approaches, and ability to communicate and influence executive leadership. 

Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.