EO of HHS PayRollGen Admin

MassHealth is the Medicaid and CHIP plan for Massachusetts, providing access to healthcare services to approximately 2 million low-income and disabled residents of the Commonwealth. MassHealth is responsible for a ~$22 billion annual budget comprised of insurance premiums, payments for healthcare services, payments for pharmaceutical therapies, administrative expenses, and more. The Program Integrity Unit is a highly strategic function within MassHealth that sets the standard for financial stewardship. Program Integrity leads and coordinates efforts related to identifying, preventing and mitigating fraud, waste and abuse (FWA) across the MassHealth program and ensuring Commonwealth resources are utilized appropriately in support of MassHealth members. The team is led by the Director of Program Integrity, who reports to the Deputy Medicaid Director, and consists of 13 internal staff members and dozens of contractors ($50M+ in annual contract value). MassHealth currently works...

The Massachusetts Executive Office of Health and Human Services (EOHHS), through the Office of Children, Youth and Families, is seeking a Director of Homeless Youth Services to lead a statewide effort focused on making the experiences of youth and young adult homelessness rare, brief, and non-recurring. This is an essential leadership role for a mission-driven professional who is passionate about advancing equity, strengthening systems, and improving outcomes for some of the Commonwealth’s most marginalized young people. The Director will guide the vision and execution of Massachusetts’ strategy to end youth homelessness, working at the intersection of policy, practice, and partnership to create a coordinated, data-informed response that reaches communities across the state. This role offers the opportunity to shape and influence a complex, multi-agency system while working closely with providers, state partners, and young people with lived experience. The Director will...

MassHealth, the Commonwealth’s Medicaid program, plays a critical role in ensuring access to high-quality, equitable health care for millions of Massachusetts residents. We are seeking candidates for the Program Integrity Coordinator. The selected candidate serves as an essential member of the Audit Response and Fraud Enforcement Unit, supporting efforts to safeguard public resources and uphold program accountability. This position sits at the intersection of data, compliance, and cross-agency collaboration. It involves coordinating complex workflows related to fraud investigations and external audits, while ensuring that information is accurate, timely, and actionable. The role provides strong exposure to high-impact initiatives, including coordination with law enforcement partners, oversight of audit activity, and participation in initiatives that influence policy, compliance, and operational improvements. We are seeking candidates who enjoy analytical work,...

MassHealth is seeking applicants for the Director of the Dental Program. This position is a key management role that is responsible for providing overall guidance and oversight for MassHealth’s $500M+ dental program and serves as a co-leader with the Dental Clinical Director in shaping program strategy, benefit design, and performance and quality outcomes. The Director is responsible for helping to set the agency’s overall dental policy, including rates, covered services, and utilization management via regulatory and sub-regulatory guidance, as well as direct stakeholder outreach and management of MassHealth’s dental vendor. The Director is responsible for managing all dental related contracts, including the dental third-party administrator (TPA) contract with an external vendor. This includes managing all contract requirements and reporting, frequent communication with the vendor, triaging issues and escalations, and managing process improvement projects. The Director is...

The Medicaid Director and Assistant Secretary for MassHealth Operations serves as a senior executive leader responsible for overseeing the strategy, policy, and operations of MassHealth, the Commonwealth’s Medicaid and Children’s Health Insurance Program (CHIP), which provides coverage to more than two million Massachusetts residents and manages an annual budget exceeding $23 billion. Operating within the Executive Office of Health and Human Services (EOHHS) and reporting to the Secretary of EOHHS, this role is central to ensuring that MassHealth delivers high-quality, cost-effective care while maintaining full compliance with federal requirements. You will lead the administration of the State Plan, waiver programs, and major initiatives such as the Money Follows the Person (MFP) Demonstration, while providing oversight across policy development, clinical affairs, finance, eligibility and provider operations, data and analytics, and IT. In addition, you will guide the...

MASSHEALTH Operations (MHO) is seeking a dynamic customer service-focused professional for the role of Benefits and Eligibility Representative. The selected candidate will work in a productive, fast-paced call center environment, utilizing technology and client management software to review, evaluate and determine applicant eligibility for medical assistance in accordance with MassHealth policy and procedures. Ideal candidates will display exceptional customer service and demonstrate an ability to successfully navigate a direct client-contact relationship. Duties and Responsibilities (these duties are a general summary and not all inclusive) : Interview those requesting benefits; help them complete eligibility forms and submit required verifications in order to obtain and validate demographic and financial information. Evaluate submitted documents from those individuals under age 65 living in the community to ensure accuracy and completeness and to support the...