Senior Program Manager, Population Health Revenue

Mass General Brigham (Enterprise Services)
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Sep 04, 2025
The Population Health Services Organization (PHSO) department at Mass General Brigham aims to deliver health and healthcare for all by translating the evolving needs of the healthcare landscape into innovative solutions to better serve individuals, communities, and organizations. In the healthcare industry, we are in a time like no other. Experts estimate that healthcare will evolve more in the next few years than it has in the last 50 years. We have seen governments, employers, and families struggle in the face of rising healthcare costs and a fragmented healthcare system. Patients and communities need more convenient, more affordable, and higher quality care. We are building a team that can reimagine healthcare and design care models that meet the needs of the people we serve. We are bringing a fresh perspective and a unique approach to create impact for the greater good. By bringing together people from various disciplines and ideas from different industries, we are seeking to address the complex challenges within our healthcare system and leaning forward into a new era of healthcare. We are seeking a Senior Program Manager Population Health Revenue to play a key role overseeing the 1) launch and management of a PHSO virtual practice that provides wrap-around clinical services supporting MGB patients and providers and 2) overseeing financial reporting, analysis and strategic planning for services provided by the Population Health Services Organization. This role is responsible for planning, directing, and ensuring execution of administrative functions of a virtual practice and broad population health billable services. Principle Duties and Responsibilities * Lead Business Operational Implementation: Identify new business processes for PHSO billable services. * Collaborate across other areas including Revenue Cycle, Compliance, Contracting, and Digital to implement the new workflows. * Coordinate with cross-functional teams to ensure seamless communication and successful implementation of initiatives. * Cross-functional Integration: Collaborate across clinical, IT, financial, Revenue Cycle, and operational teams to align documentation, coding, and billing workflows with care delivery models and reporting needs. Work with Epic, revenue cycle, and finance teams to set up the appropriate architecture to support billing. * Workflow Optimization: Map current-state processes, identify improvement areas, and implement optimized future-state solutions. Perform risk assessments and develop mitigation plans. * Performance Monitoring: Conduct comprehensive financial analysis to identify trends, variances, and opportunities related to PHSO billing processes. * PHSO Clinician administrative onboarding: Work with Provider Enrollment and Credentialing to complete PHSO clinician privileging, credentialing, enrollment, clinical oversight establishment, and related training. * Funds flow design: Work with the PHSO Finance team, Revenue Cycle, and Compliance to develop, implement, and manage funds flow processes and reporting, as well as ensuring compliance with regulatory standards. * Compliance: Collaborate with the medical directors and legal teams to ensure compliance with clinical oversight requirements, incident-to billing, cost center leasing, etc. and structure appropriate agreements as necessary. * Technology enablement: Support evaluation of healthcare technology implementation to enhance the efficiency and effectiveness of the PHSO virtual practice programs. * Governance: Establish appropriate governance and communications processes to drive decisions and provide updates to system leaders. * Strategic planning: Develop and implement strategic plans to improve PHSO virtual practice's operational efficiency and billing revenue as the PHSO expands. Education Bachelor's Degree or equivalent experience required, Master's Degree preferred Experience At least 5-7 years of experience in practice operations, revenue cycle billing implementation, or healthcare management or administration. Knowledge, Skills and Abilities Strong oral and written communication skills. Ability to deliver presentations to a wide variety of audiences. Ability to effectively plan and facilitate meetings and workgroups. Excellent organizational skills and attention to detail, ability to work independently, manage multiple tasks and projects, meet deadlines, and manage to schedule. Strong understanding of healthcare regulations, patient care standards, and revenue cycle billing. Excellent EQ interpersonal and communication skills. Demonstrated ability to build relationships and effectively manage and get work done through influencing. Strategic thinking and problem-solving abilities, with an ability to think outside the box. Excellent project management skills and highly organized. Ability to adapt to multiple and rapidly changing priorities and deadlines. Comfort with ambiguity and building new programs. Excel at working in large, complex, matrixed organizations. Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a 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.