Business & Systems Integration Manager

Summary of the Position:

The Business & Systems Integration (BSI) Team serves as the primary liaison between MassHealth business areas and technical partners, ensuring the Medicaid Management Information System (MMIS) and Electronic Data Interchange (EDI) operations support business objectives and comply with federal and state requirements. The team leads the implementation and governance of HIPAA electronic transactions, administrative simplification initiatives, companion guides, trading partner communications, and the business adoption of new federal transaction standards.

MassHealth is seeking qualified applicants for the position of Business & Systems Integration Manager. This position is integral to the successful planning, development, and implementation of these mandates and initiatives and will be responsible for coordinating cross-functional operational, compliance, communication, and systems support activities related to MassHealth administrative simplification initiatives, the MassHealth Medicaid Management Information System, and other agency strategic priorities. The role serves as a liaison among business, technical, vendor, and external stakeholder groups to support project implementation, operational readiness, compliance activities, and ongoing program support.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Coordinate and support cross-functional initiatives and operational activities by facilitating project planning, implementation, stabilization, and operational readiness efforts across business, technical, and vendor teams. Support the execution of agency priorities through effective coordination, issue resolution, tracking, and follow-up activities.
• Support the development, review, coordination, and dissemination of internal and external communications related to agency initiatives, operational changes, compliance activities, and system implementations. Facilitate stakeholder engagement and ensure communication materials, presentations, and related resources are accurate, timely, and appropriately reviewed and approved.
• Support agency compliance with applicable federal mandates, HIPAA administrative simplification requirements, and industry standards by coordinating related activities, monitoring regulatory and industry developments, and facilitating implementation of operational and system changes as required.
• Coordinate activities related to vendor management, trading partner engagement, testing support, and operational system readiness to support successful implementation and ongoing maintenance of agency systems and business processes. Collaborate with business and technical teams to support validation, issue resolution, and operational continuity activities.
• Maintain and support organizational governance processes, operational documentation, repositories, and administrative support functions to ensure materials are accurate, organized, accessible, and appropriately maintained.
• Provide guidance and operational support to staff and teams contributing to the MassHealth Medicaid Management Information System and other agency initiatives.
• Monitor project activities, identify risks and issues, coordinate resolution efforts, and provide regular updates to stakeholders to support successful project outcomes.
• Collaborate with cross-functional teams to improve business processes, strengthen operational efficiency, and support the successful implementation of strategic initiatives.
• Perform other duties as assigned.

Preferred Qualifications:

• Healthcare experience is a requirement.