Lead Healthcare Policy Analyst - (250004RP)
About the Office of the Inspector General (OIG or Office)
Since its creation as the nation's first state-level inspector general's office, the Massachusetts OIG has been at the forefront of promoting effective government and the responsible use of public money and property. The OIG is an independent agency charged with preventing and detecting fraud, waste and abuse in the use of public funds and public property. By statute, the Inspector General (IG) has broad authority to oversee the use of state, local and federal funds by state and local governments, as well as by those who receive government funds or use of public property. This includes state agencies, counties, cities, towns, quasi-governmental authorities and districts, as well as individuals, corporations and not-for-profit organizations that do business with the government.
The Office is led by the Inspector General of the Commonwealth, who is appointed by the Governor, Attorney General and Auditor "...solely on the basis of integrity and demonstrated ability in accounting, auditing, financial analysis, law, management analysis, public administration, investigation or criminal justice administration." M.G.L. c. 12A, § 2.
The OIG is organized into three bureaus: Specialty & General Government, Legal & Compliance, and Operations, Training & Publications. Each bureau contains divisions that focus on specific agencies, issues or functions. Together the bureaus work to prevent and detect waste, fraud and abuse of public resources in the Commonwealth. Additional information about the office may be found at Welcome to the Office of the Inspector General | Mass.gov.
The OIG enabling statute is Chapter 12A of the Massachusetts General Laws (Chapter 12A). Further details may be found at Chapter 12A (malegislature.gov).
Specialty and General Government Bureau
The Specialty and General Government Bureau is managed by the Deputy Inspector General. This bureau safeguards public assets through oversight of specific agencies (both statutory and OIG-created divisions), special government funding (like pandemic relief), public procurement, and state and local government.
Health Care Division
In 2023, Inspector General Jeffrey Shapiro shifted the review of Medicaid (MassHealth) and the Health Safety Net (HSN) programs to the newly created Healthcare Division (HCD) to review, analyze, and report on a variety of healthcare policy, delivery, and access issues in addition to conducting the OIG's annual study of MassHealth and HSN, as required by Section 231 of Chapter 140 of the Acts of 2024. The OIG's HCD conducts oversight reviews, audits, and investigations of the MassHealth and HSN programs to prevent and detect fraud, waste and abuse in publicly funded healthcare programs. HCD, through its oversight activities, makes recommendations for improvements to program internal controls to safeguard public funds in the MassHealth and HSN programs.
Located within the Executive Office of Health and Human Services, the MassHealth program provides health insurance benefits to more than 2 million Massachusetts residents. In FY 2025, the Commonwealth expects to spend approximately $20.3 billion on MassHealth Administered by the Office of Medicaid, HSN provides access to essential health care services for low-income, uninsured or underinsured Massachusetts residents by paying acute care hospitals and community health centers for medically necessary services provided to qualifying residents with an annual budget of approximately $347M.
Lead Healthcare Policy Analyst: Position Overview
The Office of the Inspector General serves the interest of the public by preventing and detecting fraud, waste and abuse of public funds and property and promoting meaningful transparent and efficient oversight of government programs. In its oversight and fraud prevention and detection role, members of HCD identify areas of risk and develop program reviews to identify fraud, waste and abuse. As a result of the reviews and investigations, HCD drafts and publishes reports and recommendations for improved program integrity processes to safeguard important tax dollars in publicly funded healthcare programs.
When you join the OIG's HCD, you will be engaging in critical work to fulfill the mission of safeguarding public funds and ensuring accountability, transparency and integrity in publicly funded healthcare programs. You will review healthcare data and evaluate claims and payment data to identify program performance issues, recommend strategies to reduce fraud, waste, and abuse, and strengthen oversight of MassHealth and HSN programs. Your insights will play a key role in enhancing accountability and efficiency within public healthcare programs.
The OIG seeks a Lead Healthcare Policy Analyst to join the HCD to support MassHealth and HSN oversight through investigations and reviews that result in reported findings and recommendations. The right candidate for the Lead Healthcare Policy Analyst has an innate sense of curiosity combined with prior healthcare policy evaluation experience and understands the complexity of MassHealth programs and the member population it serves. The candidate may also have experience working in and or with government agencies focused on public healthcare policy, evaluation and analysis.
Bring your talent and experience and join a dynamic, collaborative team dedicated to improving government efficiency and safeguarding public healthcare. As a creative problem solver, you leverage diverse data sources to evaluate MassHealth and HSN programs, providers, and vendors, identifying inefficiencies, fraud, waste, and abuse. Your extensive understanding of public health policy and strong organizational and communication skills enable you to develop and manage short- and long-term projects in collaboration with other OIG divisions. You will work in a supportive environment where ideas are valued and shared, data is explored, and colleagues are passionate about strengthening healthcare program oversight-and we are looking for someone who shares that enthusiasm and commitment.
Responsibilities include but are not limited to:
Key Abilities, Skills and Experience:
Preferred Abilities, Skills and Experience Include:
Salary Range: $72,000 to $83,000
Other Position Information: Full time/Exempt
Hybrid Work Schedule:
The Office of the Inspector General offers a hybrid work schedule. Under this policy, employees may request one of the following weekly hybrid schedules: 1) four days telework and one day onsite; 2) three days telework and two days onsite; 3) two days telework and three days onsite; or 4) one day telework and four days onsite. The onsite location is at OIG's Boston office and employees may work remotely the remainder of the time at a location approved by their supervisor, so long as they comply with the requirements of the Hybrid Work policy. Employees will be assigned to their onsite workspace based on their approved schedule. The approved telework location must be located within Massachusetts or within an approximately two-hour driving or train commute distance. OIG does not reimburse employees for travel to the office. In addition, the successful candidate may be required to work primarily on site in Boston during the initial training and orientation period and/or for certain positions a primarily on-site role may be necessary.
Benefits:
We value our employees and offer benefits that support their lives and well-being, while promoting an environment focused on inclusion, flexibility, professional growth, trust and respect. The Office therefore is pleased to offer a comprehensive benefits package for its employees. The specific components and eligibility may vary based upon position, hours worked per week and other variables. Consequently, specific benefits for this position may be discussed as part of the interview and offer process.
The overall benefits available include paid vacation; sick and personal leave time; health, dental and vision insurance through the Commonwealth's Group Insurance Commission; and optional pre-tax health savings accounts plans. To view the details of the various plans and the cost split between employer and employee, go to the Group Insurance Commission website.
Employees also participate in the Commonwealth's state retirement plan, which may become a defined benefit plan for those who both vest and subsequently retire from state service. For more information, visit the Massachusetts State Retirement Board website.
In addition, the Office provides employees the opportunity to elect life insurance, long-term disability insurance, deferred compensation savings, tuition remission pre-tax commuter account plans, along with other programs.
How to apply
Submit cover letter and resume via email by June 27, 2025 to:
Sarah Hoover, Director of Human Resources & Recruitment
Office of the Inspector General
IGO-employment@mass.gov
Diversity and Inclusion Statement
Diversity Officer: Sarah Hoover
The Officed does not tolerate discrimination or harassment on the basis of age, color, disability, gender identity, genetic information, national origin, parental status, political affiliation, race, religion, sex, sexual orientation or veteran status.
The Office promotes access, inclusion and diversity for all staff, believing that these qualities are foundational components of an outstanding working environment and in keeping with its mission. The Office actively seeks to increase the diversity of its workforce and is interested in candidates whose experience and qualifications support an ongoing commitment to this core quality.
Official Title: Health Care Policy Analyst,IGO
: United States-Massachusetts-Boston-1 Ashburton Place
: Unclassified
: Office of the Inspector General
: Full-time
: Day
: May 23, 2025, 5:56:16 PM
: 1
: 72,000.00 - 83,000.00 Yearly
If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer / ADA Coordinator: Sarah Hoover - 6177228896
Potentially Eligible for a Hybrid Work Schedule: Yes
Read Full Description