Tufts Medicine
Director, Medicine Projects & Planning
Tufts Medicine, Boston, Massachusetts, United States, 02298
Director, Medicine Projects & Planning at Tufts Medicine
Overview
This position provides strategic and operational leadership for the Department of Medicine. It focuses on cross-cutting project execution, operational redesign, and strategic planning to enhance financial performance, quality outcomes, and care delivery within the Department of Medicine. It oversees department-wide initiatives with emphasis on Lean methodologies, program development, and alignment with institutional performance goals. The role supports population health performance across value-based contracts and collaborates with clinical and administrative leaders to ensure operational and financial success. It also supports educational and research activities aligned with clinical operations and population health activities as part of the Department and Tufts Medicine.
A major component of the role is partnering with primary care and specialty divisions to advance strategic initiatives such as chronic disease program buildouts, workflow optimization, and financial planning. It manages a dedicated team and acts as a liaison between operations, finance, quality, and physician leadership.
Job Description
Minimum qualifications Bachelor’s degree in Public Health, Business Administration, or related area. Five (5) years of leadership experience in healthcare project planning, population health, finance, or clinical operations. Experience should include leading multi-stakeholder initiatives with measurable outcomes. Preferred qualifications Master's degree in Public Health, Business Administration, or related area. Project management certification (e.g., Lean Six Sigma or similar). Experience in an academic medical center or integrated health system. Duties and Responsibilities
Oversees department-wide project planning and implementation across research, education, clinical, and administrative domains. Develops and scales programs in chronic disease management, access improvement, and service line growth (e.g., Diabetes, CHF, COPD). Serves as a strategic advisor to the Executive Director and division chiefs to align operational projects with institutional goals. Standardizes project execution frameworks using Lean methodology and change management principles. Redesigns and optimizes departmental workflows for efficiency, financial sustainability, and quality outcomes. Develops and maintains dashboards and tracking tools to monitor performance improvement and project execution. Leads root-cause analyses and redesign initiatives in partnership with quality, finance, and operations teams. Helps lead value-based care performance in coordination with Tufts Medical Center Local Care Organization (LCO) leadership. Collaborates with Tufts Medicine Integrated Network (TMIN) and their partnerships to ensure alignment of Department of Medicine strategies with network and payer priorities. Supports risk adjustment, care model design, and other payer-facing initiatives. Leads funds flow modeling and reimbursement optimization efforts in collaboration with Finance. Ensures compliance with ACO, CMS, MACRA/MIPS, and state/federal regulatory requirements. Monitors and reports on contract performance, offering strategic recommendations to leadership. Leverages data tools (e.g., Epic, payer claims data, predictive analytics) to identify trends and opportunities. Develops high-level reports and dashboards to inform department strategy. Promotes a culture of data-informed decision-making and operational transparency. Contributes to performance and revenue improvement by focusing on strategic project planning and financial execution within value-based care frameworks: 10% – Quality Performance Metrics (e.g., HEDIS, Stars, and clinical outcomes). 25% – Risk Adjustment (accurate RAF coding, documentation, and patient complexity). 65% – Efficiency & Cost Reduction (chronic disease management, reduced ED utilization, and inpatient admissions control, including Diabetes and CHF program buildouts). Physical Requirements
Occasionally lift and/or move up to 25 lbs (OSHA standard requirement). Primarily a sedentary role, but may involve walking, standing, and operating office equipment. Frequent communication via phone, email, and in-person meetings. Skills & Abilities
Strong analytical and financial acumen, with the ability to interpret complex data and drive actionable insights. Proven leadership in high-performance, results-driven environments, with a track record of scaling population health programs. Exceptional communication and stakeholder engagement skills, able to collaborate effectively across departments. Expertise in value-based care, risk adjustment, and healthcare financial models.
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Minimum qualifications Bachelor’s degree in Public Health, Business Administration, or related area. Five (5) years of leadership experience in healthcare project planning, population health, finance, or clinical operations. Experience should include leading multi-stakeholder initiatives with measurable outcomes. Preferred qualifications Master's degree in Public Health, Business Administration, or related area. Project management certification (e.g., Lean Six Sigma or similar). Experience in an academic medical center or integrated health system. Duties and Responsibilities
Oversees department-wide project planning and implementation across research, education, clinical, and administrative domains. Develops and scales programs in chronic disease management, access improvement, and service line growth (e.g., Diabetes, CHF, COPD). Serves as a strategic advisor to the Executive Director and division chiefs to align operational projects with institutional goals. Standardizes project execution frameworks using Lean methodology and change management principles. Redesigns and optimizes departmental workflows for efficiency, financial sustainability, and quality outcomes. Develops and maintains dashboards and tracking tools to monitor performance improvement and project execution. Leads root-cause analyses and redesign initiatives in partnership with quality, finance, and operations teams. Helps lead value-based care performance in coordination with Tufts Medical Center Local Care Organization (LCO) leadership. Collaborates with Tufts Medicine Integrated Network (TMIN) and their partnerships to ensure alignment of Department of Medicine strategies with network and payer priorities. Supports risk adjustment, care model design, and other payer-facing initiatives. Leads funds flow modeling and reimbursement optimization efforts in collaboration with Finance. Ensures compliance with ACO, CMS, MACRA/MIPS, and state/federal regulatory requirements. Monitors and reports on contract performance, offering strategic recommendations to leadership. Leverages data tools (e.g., Epic, payer claims data, predictive analytics) to identify trends and opportunities. Develops high-level reports and dashboards to inform department strategy. Promotes a culture of data-informed decision-making and operational transparency. Contributes to performance and revenue improvement by focusing on strategic project planning and financial execution within value-based care frameworks: 10% – Quality Performance Metrics (e.g., HEDIS, Stars, and clinical outcomes). 25% – Risk Adjustment (accurate RAF coding, documentation, and patient complexity). 65% – Efficiency & Cost Reduction (chronic disease management, reduced ED utilization, and inpatient admissions control, including Diabetes and CHF program buildouts). Physical Requirements
Occasionally lift and/or move up to 25 lbs (OSHA standard requirement). Primarily a sedentary role, but may involve walking, standing, and operating office equipment. Frequent communication via phone, email, and in-person meetings. Skills & Abilities
Strong analytical and financial acumen, with the ability to interpret complex data and drive actionable insights. Proven leadership in high-performance, results-driven environments, with a track record of scaling population health programs. Exceptional communication and stakeholder engagement skills, able to collaborate effectively across departments. Expertise in value-based care, risk adjustment, and healthcare financial models.
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