MassHealth is the Commonwealth's Medicaid and Children's Health Insurance Program (CHIP), providing health care coverage to nearly two million Massachusetts residents and managing more than $20 billion in annual expenditures. As Chief of Integrated Finance and Rates, you will set the strategic direction for the MassHealth finance function, shaping the multi-year fiscal outlook and advising agency leadership on how the Commonwealth's Medicaid dollars are allocated across program areas. This role works directly with the Chief Financial Officer and the leader of the Integrated Fiscal Strategy team, partnering with them to ensure day-to-day execution is aligned with overall agency direction. You will serve as a leading voice for MassHealth – carrying the agency's budget and financing priorities to the Governor's Office, the Executive Office for Administration and Finance, the Legislature, and federal partners at the Centers for Medicare & Medicaid Services.
This role is a member of the MassHealth Executive team and sits at the intersection of MassHealth programs and the services functions that support them. Success calls for a proactive problem solver who can both direct and influence outcomes. You will need to develop a deep understanding of how MassHealth is funded and spends its dollars; simultaneously, you will need to be able to consistently and naturally synthesize details into the key points in communication with senior stakeholders. This is an exciting, action-forward role at a critical time for Medicaid.
Duties and Responsibilities: (These duties are a general summary and not all-inclusive)
Set the strategic direction for MassHealth finance, including the multi-year fiscal outlook, and advise the Medicaid Director and Deputy Medicaid Director on how the annual budget is allocated across program areas.
Serve as a leading voice for MassHealth finance to external audiences, communicating the agency’s budget and financing priorities to senior staff in the Governor’s Office, the Executive Office for Administration and Finance, the State Legislature, the Centers for Medicare & Medicaid Services, and other key stakeholders.
Provide direction for MassHealth’s managed care pricing and payment framework; ensure coherence with budget and financial operations.
Prepare and position the agency for federal policy change affecting Medicaid financing, payment, and rate-setting; direct the agency’s strategic response ahead of fiscal impact.
Serve as a senior adviser to MassHealth executive leadership; partner with and provide support to Finance and Integrated Fiscal Strategy teams to keep day-to-day execution aligned with strategy.
Preferred Qualifications:
Demonstrated experience in senior level finance or strategy roles, with at least 3 years of experience.
Excellent communication skills, including the ability to synthesize and present complex fiscal and regulatory matters to executive leaders, legislators, and external audiences.
Knowledge of and familiarity with Medicaid, especially Medicaid finance topics such as federal budget authority, financing mechanism.
Knowledge of and familiarity with healthcare, especially as it relates to value-based care, medical economics, and total cost of care analysis.
Strategic problem-solving skills and experience in advising and building consensus among executive leadership, federal partners, and state fiscal authorities.
Diverse backgrounds welcome, including state policy, state finance, private sector finance and strategy, investment banking, management consulting.
TO APPLY:
Please upload both Resume and Cover Letter for this position when applying. First consideration will be given to those applicants that apply within the first 14 days.
About MassHealth:
The mission of MassHealth is to improve the health outcomes of our diverse members, their families, and their communities by providing access to integrated health care services that sustainably promote health, well-being, independence, and quality of life.
For more information about our agency and programs please visit: www.mass.gov/masshealth
Pre-Offer Process:
A criminal and tax history background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori
Education, licensure, and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.
If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form.
For questions, please contact the Office of Human Resources at 1-800-510-4122 and select option #4.
Qualifications
MINIMUM ENTRANCE REQUIREMENTS:
Applicants must have at least (A) seven (7) years of full-time or, equivalent part-time, professional, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management of which (B) at least four (4) years must have been in a managerial capacity.
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
Want the specifics? Explore our Employee Benefits and Rewards!
Salary placement is determined by a combination of factors, including the candidate’s years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division’s Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.
Official Title: Administrator XPrimary Location: United States-Massachusetts-Boston-1 Ashburton PlaceJob: Administrative ServicesAgency: Exec Office Of Health and Human ServicesSchedule: Full-timeShift: DayJob Posting: Aug 7, 2026, 8:52:50 PMNumber of Openings: 1Salary: 130,046.62 - 201,801.22 YearlyIf you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer / ADA Coordinator: Sandra Semedo, Sandra.C.Semedo@mass.gov - 6173488456Bargaining Unit: M99-Managers (EXE)Confidential: NoPotentially Eligible for a Hybrid Work Schedule: Yes