Rural Health Implementation and Improvement Lead

IEM is looking for a Full Time-Rural Health Implementation and Improvement Lead to provide implementation science leadership for the New Hampshire’s Rural Health Transformation Program (RHTP) under GO-NORTH’s evaluation contract. This role is accountable for the implementation science framework supporting evaluation design and the quarterly mid-course correction cycle, applying frameworks such as RE-AIM, CFIR, and Proctor’s implementation outcomes across five initiatives. The role leads engagement with all five Hub organizations and GO-NORTH leadership on framework application, facilitates learning huddles, and translates findings into actionable recommendations to improve program performance. This federally funded sub-award is governed by 2 CFR Part 200 and ALN 93.7982 (U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services).

Primary Location:

• Live anywhere that meets remote work requirements in the United States including Puerto Rico.
• Work is expected to take place at home or personal office space.
• Preference will be given to candidates living in New Hampshire. 

Travel Requirements:

• This position may require travel to complete work assignments or attend meetings.

Essential Functions:

• Lead engagement across all five RHTP Hub organizations on framework application, providing coaching, technical assistance, and training aligned to each hub’s program area and organizational context.
• Anchor the quarterly mid-course correction cycle by synthesizing implementation data, identifying performance gaps, and preparing actionable recommendations for GO-NORTH leadership and Hub organizations.
• Identify strategies, capacities, partnerships, and conditions that support sustainability of RHTP initiatives; assess durability of infrastructure and cross-sector relationships, and codify lessons learned for future rural health transformation in New Hampshire.
• Provide analytic supervision to the five Hub Evaluation Leads on implementation data collection, ensuring consistency in framework application, coding, and reporting; review monthly submissions to identify barriers or adaptation patterns requiring escalation.
• Develop and maintain the implementation framework for the RHTP evaluation, selecting and applying frameworks (RE-AIM, CFIR, Proctor’s implementation outcomes, and others) appropriate to each initiative and evaluation question.
• Conduct CFIR-based organizational analysis across Hub sites, assessing inner and outer setting determinants, implementation climate, and readiness factors affecting implementation and sustainability in rural New Hampshire.
• Apply RE-AIM dimensions (Reach, Effectiveness, Adoption, Implementation, Maintenance) to assess whether initiatives are implemented as intended and progressing toward sustainability across rural NH communities, providers, and systems.
• Lead or support qualitative data collection activities, including stakeholder interviews, focus groups, document review, and structured observation, to capture implementation experience across care coordination, mobile integrated health, telehealth, pharmacy access, and non-emergency medical transportation.
• Collaborate with the Senior Evaluation Methodologist to align data collection instruments, interview protocols, and observation tools with the measurement framework and ensure compatibility with NH health data systems (APCD, HIO, Medicaid MMIS).
• Design and facilitate the learning huddle cadence, structuring sessions to surface implementation barriers, facilitators, and adaptations, and documenting findings for Quarterly and Annual Program Reports.
• Translate implementation findings into practical tools, templates, and guidance to strengthen execution, address barriers, and identify scalable approaches; support Hub Evaluation Leads in integrating findings into reporting.
• Contribute implementation analysis to Quarterly Progress Reports, Annual Program Reports, Annual Mid-Course Correction Recommendations, and the Final Evaluation Report, ensuring findings are evidence-based, framework-aligned, and actionable.
• Document methods, framework applications, codebooks, and qualitative data protocols to support transparency and transition of evaluation assets to State ownership at contract close, consistent with 2 CFR Part 200.
• Participate in regularly scheduled leadership meetings.

Minimum Qualifications: