Mass General Brigham (Enterprise Services)
Medical Director, Pediatric Strategy and Performance
Mass General Brigham (Enterprise Services), Somerville, Massachusetts, us, 02145
Job Summary: The Population Health Services Organization (PHSO) at Mass General Brigham aims to deliver 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.
The Pediatric Medical Director at the Population Health Services Organization (PHSO) plays a pivotal role in shaping and executing the strategic vision for pediatric care within the Medicaid Accountable Care Organization (ACO) and other lines of business with pediatric quality goals. This position is responsible for analyzing pediatric population health trends, identifying actionable opportunities, and crafting a comprehensive strategy that encompasses quality improvement, and cost containment. Reporting to the ACPHO, the Medical Director serves as a key driver of Mass General Brigham's pediatric population health strategy. Operating within a matrixed framework, the role champions value-based care initiatives, fosters provider engagement, ensures clinical and administrative accountability, and strengthens communication between the PHSO and affiliated practices. Through this leadership, the Pediatric Medical Director advances care delivery, improves health outcomes for children, and supports regulatory alignment while driving sustainable, high-value pediatric care.
Responsibilities
Lead comprehensive review of pediatric cost and utilization trends within the Medicaid ACO and commercial ACO populations, identifying drivers of variation and opportunities for targeted intervention. Collaborate with analytics teams to develop dashboards and reporting tools that support proactive management of pediatric performance. Provide a quarterly FSO update on trends and utilization.
Conduct analysis of pediatric performance data and population trends to identify actionable opportunities for improvement in ambulatory quality, risk adjustment, and service delivery. Use insights to shape system-wide pediatric strategy.
Collaborate with the MassHealth health plan to identify and advance pediatric opportunities within the Medicaid ACO, including initiatives focused on care coordination, preventive services, and addressing social determinants of health.
Align pediatric initiatives with primary and specialty leadership, ensuring that clinical workflows and strategic priorities are integrated across disciplines to support value-based care (VBC) performance targets.
Drive strategic change management across pediatric practices, engaging physicians in initiatives that elevate care quality, reduce unnecessary utilization, and support long-term sustainability of pediatric VBC models.
Represent pediatric interests in MGB system-level committees and workgroups, serving as a strategic voice to inform and shape pediatric population health direction, policy, and investment priorities.
Communication & Provider Engagement
Serve as a liaison between PHSO and pediatric providers, ensuring a structured cadence of communication across regions and facilitates bidirectional feedback to support population health efforts.
Mentor and influence pediatric physicians across the VBC network, fostering a culture of continuous performance improvement.
Lead targeted data reviews with network clinical leaders, translating performance metrics into actionable insights that inform care delivery improvements and close quality gaps.
Develop and disseminate pediatric quality information in collaboration with OCMO leaders highlighting performance trends, benchmarks, and opportunities for improvement.
Clinical Oversight
Provide clinical oversight for pediatric VBC strategy and operations, ensuring high-quality, efficient care delivery.
Evaluate pediatric clinical staffing needs to inform strategic planning for new roles and resources.
Oversee pediatric APP workflows within Central Services as directed by the CPHO/ACPHO to enhance care coordination, safety, and operational efficiency.
Oversee the execution of pediatric-focused virtual wrap services that support population health goals.
Engagement with Data & Analytics
Actively use the Integrated Performance Framework (IPF), contracts, and PHM pediatric analytics to drive local and network performance improvements.
Meet regularly with pediatric leaders across all RSO to foster engagement and communication regarding IPF pediatric goals.
Change Leadership
Develop and execute pediatric-specific implementation strategies, including marketing, communication, and operational planning.
Lead service change management efforts at pediatric practices and across the broader pediatric network.
Support PHM Fellowship and electives with a pediatric focus, in collaboration with the Fellowship Director.
Qualifications
Medical Degree required with board certification; Additional management degree (e.g., MBA, MPH) preferred
5+ years of practice with 4 - 6 years embedded within an MGB RSO as a strategic leader
4+ years as an SME in Value-Based Care
Track record in completing process redesign, quality improvement, and project management
Effective facilitation skills within large dynamic groups are required, with a specific preference for experience facilitating physicians and clinical teams in performance improvement and/or behavior change
Effective facilitation skills within large dynamic groups required
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.
#J-18808-Ljbffr
The Pediatric Medical Director at the Population Health Services Organization (PHSO) plays a pivotal role in shaping and executing the strategic vision for pediatric care within the Medicaid Accountable Care Organization (ACO) and other lines of business with pediatric quality goals. This position is responsible for analyzing pediatric population health trends, identifying actionable opportunities, and crafting a comprehensive strategy that encompasses quality improvement, and cost containment. Reporting to the ACPHO, the Medical Director serves as a key driver of Mass General Brigham's pediatric population health strategy. Operating within a matrixed framework, the role champions value-based care initiatives, fosters provider engagement, ensures clinical and administrative accountability, and strengthens communication between the PHSO and affiliated practices. Through this leadership, the Pediatric Medical Director advances care delivery, improves health outcomes for children, and supports regulatory alignment while driving sustainable, high-value pediatric care.
Responsibilities
Lead comprehensive review of pediatric cost and utilization trends within the Medicaid ACO and commercial ACO populations, identifying drivers of variation and opportunities for targeted intervention. Collaborate with analytics teams to develop dashboards and reporting tools that support proactive management of pediatric performance. Provide a quarterly FSO update on trends and utilization.
Conduct analysis of pediatric performance data and population trends to identify actionable opportunities for improvement in ambulatory quality, risk adjustment, and service delivery. Use insights to shape system-wide pediatric strategy.
Collaborate with the MassHealth health plan to identify and advance pediatric opportunities within the Medicaid ACO, including initiatives focused on care coordination, preventive services, and addressing social determinants of health.
Align pediatric initiatives with primary and specialty leadership, ensuring that clinical workflows and strategic priorities are integrated across disciplines to support value-based care (VBC) performance targets.
Drive strategic change management across pediatric practices, engaging physicians in initiatives that elevate care quality, reduce unnecessary utilization, and support long-term sustainability of pediatric VBC models.
Represent pediatric interests in MGB system-level committees and workgroups, serving as a strategic voice to inform and shape pediatric population health direction, policy, and investment priorities.
Communication & Provider Engagement
Serve as a liaison between PHSO and pediatric providers, ensuring a structured cadence of communication across regions and facilitates bidirectional feedback to support population health efforts.
Mentor and influence pediatric physicians across the VBC network, fostering a culture of continuous performance improvement.
Lead targeted data reviews with network clinical leaders, translating performance metrics into actionable insights that inform care delivery improvements and close quality gaps.
Develop and disseminate pediatric quality information in collaboration with OCMO leaders highlighting performance trends, benchmarks, and opportunities for improvement.
Clinical Oversight
Provide clinical oversight for pediatric VBC strategy and operations, ensuring high-quality, efficient care delivery.
Evaluate pediatric clinical staffing needs to inform strategic planning for new roles and resources.
Oversee pediatric APP workflows within Central Services as directed by the CPHO/ACPHO to enhance care coordination, safety, and operational efficiency.
Oversee the execution of pediatric-focused virtual wrap services that support population health goals.
Engagement with Data & Analytics
Actively use the Integrated Performance Framework (IPF), contracts, and PHM pediatric analytics to drive local and network performance improvements.
Meet regularly with pediatric leaders across all RSO to foster engagement and communication regarding IPF pediatric goals.
Change Leadership
Develop and execute pediatric-specific implementation strategies, including marketing, communication, and operational planning.
Lead service change management efforts at pediatric practices and across the broader pediatric network.
Support PHM Fellowship and electives with a pediatric focus, in collaboration with the Fellowship Director.
Qualifications
Medical Degree required with board certification; Additional management degree (e.g., MBA, MPH) preferred
5+ years of practice with 4 - 6 years embedded within an MGB RSO as a strategic leader
4+ years as an SME in Value-Based Care
Track record in completing process redesign, quality improvement, and project management
Effective facilitation skills within large dynamic groups are required, with a specific preference for experience facilitating physicians and clinical teams in performance improvement and/or behavior change
Effective facilitation skills within large dynamic groups required
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.
#J-18808-Ljbffr