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Senior Clinical Program Manager - (Remote in Boston)

Remote Full-time Live

Description & Requirements Maximus is hiring for the Senior Clinical Program Manager for the MA EOHHS Program which provides essential clinical leadership to ensure the delivery of high-quality, person-centered assessments across Massachusetts. This role oversees a team of registered nurses conducting in-person evaluations, ensuring all assessments meet organizational standards, regulatory requirements, and evidence-based clinical guidelines. The Senior Clinical Program Manager is responsible for reviewing clinical documentation, coaching and developing nursing staff, and collaborating with interdisciplinary teams to enhance workflow efficiency and patient outcomes. The position monitors key quality and safety metrics, implements corrective actions when needed, supports hiring and onboarding of nursing staff, and serves as the primary clinical escalation point for complex cases. This leadership role is integral to maintaining clinical excellence and supporting the mission of the MA EOHHS program.

  • * This is a fully remote position; however, candidates must reside in the state of Massachusetts.

About the Program: MA Executive Office of Health and Human Services Commonwealth of Massachusetts / MassHealth Office of Long-Term Services and Support (EOHHS). We provide education to providers, conduct in-person assessments, and offer call center support for the state of Massachusetts Why Maximus? - Work/Life Balance Support - Flexibility tailored to your needs! - Competitive Compensation -Bonuses based on performance included! - Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage. - Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - Tuition Reimbursement - Invest in your ongoing education and development. - Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - Professional Development Opportunities-Participate in training programs, workshops, and conferences. - Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees. Essential Duties and Responsibilities: - Assists the leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations. - Analyzes daily, weekly, and monthly reports for performance measurement and efficiencies - Participates with project and executive management to establish strategic plans, objectives, initiatives, and work plans - Assists the leadership in efforts to facilitate a functional, motivated, and cohesive project team - Directly supervises and manages key Project staff as determined by the leadership - Works with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff. Monitors achievement of those goals - Provides direction to team members and resolves problems in a timely and professional manner - Assists in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes, and quality. - Develops, modifies, and executes project policies, ensuring all project team members comply - Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position - Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations. - Performs other duties as may be assigned by Management Minimum Requirements - Bachelor's degree in relevant field of study and 7+ years of relevant professional experience required, or equivalent combination of education and experience. - Bachelor's degree in Nursing - An active, unencumbered Registered Nurse (RN) license in the state of Massachusetts - Residency in the state of Massachusetts is required - Minimum of 5 years of clinical nursing experience or equivalent relevant experience - Proficiency in Microsoft Office applications Preferred Requirements - Master's degree in Nursing - Proficiency in Adobe applications - Proficiency in Smartsheet - Familiarity with the Time to Test (TTT) assessment - Experience in utilization review or utilization management Home Office Requirements - Maximus provides company-issued computer equipment - Reliable high-speed internet service - Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity - Minimum 5 Mpbs upload speeds - Private and secure workspace #ClinicalServices #LI-Remote EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at [email protected] . Minimum Salary $ 90,000.00 Maximum Salary $ 120,000.00 Apply tot his job Apply To this Job

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