New

Health Equity Quality Specialist

Mass General Brigham Health Plan
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Apr 01, 2026
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience - a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise. We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more. The Health Equity Specialist supports Mass General Brigham Health Plan's quality and accreditation strategy with a primary focus on NCQA Health Equity requirements. This role serves as a subject matter expert for NCQA Health Equity Accreditation standards and partners across the organization to plan, coordinate, and execute health equity initiatives that align with accreditation, regulatory, and quality improvement expectations. The position leads and manages crossfunctional projects related to health equity performance, documentation, and readiness, ensuring deliverables are completed on time and meet NCQA standards. The Health Equity Specialist plays a critical role in maintaining continuous accreditation readiness by coordinating evidence collection, tracking requirements, monitoring progress against project plans, and supporting internal and external reviews. This role is wellsuited for a candidate with prior experience in a health plan quality department, strong familiarity with NCQA health equity standards, and demonstrated strength as a project manager driving complex initiatives across multiple stakeholders. The Specialist must have a deep understanding of health equity requirements from a regulatory and accreditation lens, providing subject matter expertise for collaborative business partners while managing the health equity initiatives and deliverables within the quality team. Principal Duties and Responsibilities: Health Equity & Quality Improvement * Drafting, reviewing, and revising internal policies and procedures to ensure alignment with industry standards, legal requirements, and best practices. * Identify disparities in clinical outcomes, access, and patient experience through data analysis and quality metrics. * Develop, implement, and monitor health equity action plans tied to organizational quality goals and regulatory requirements. * Support quality improvement (QI) projects using methodologies such as PDSA, Lean, or Six Sigma. * Collaborate with care teams to integrate equity principles into workflows, care pathways, and population health strategies. * Comprehensive health equity program management, ensuring compliance to regulatory requirements to ensure constant state of audit and accreditation readiness. Data & Reporting * Collect, stratify, and analyze data by race, ethnicity, language, gender identity, sexual orientation, socioeconomic status, and other demographic factors. * Produce dashboards, reports, and presentations to communicate disparities and improvement opportunities. * Ensure accurate documentation and compliance with national, state, and accrediting-body standards (e.g., CMS, NCQA, Joint Commission). * Facility development and ensure delivery of state, federal, and other reporting requests. Policy & Program Management * Ensuring that all policies and documents meet legal, regulatory, and industry-specific compliance standards. * Preparing for and supporting internal and external audits by providing the necessary documentation and ensuring that policies and records are up to date. * Identifying risks associated with inadequate documentation or non-compliance with policies and working to mitigate those risks. * Maintaining proper security protocols for sensitive documents to prevent data breaches or unauthorized access. * Review and recommend modifications to policies, procedures, and programs to enhance equity and inclusion. * Partner with community organizations, patient advocates, and internal teams to support outreach and engagement of marginalized populations. * Ensure development and execution of foundational program documents, complying with regulatory and accreditation standards. * Complete ongoing program oversight to ensure implementation of program and initiatives across the business lines. * Manage appropriate committees including compiling agendas, meeting minutes, and presentations. Other duties as assigned. Education Bachelor's Degree required (experience can be substituted in lieu of degree); Master's Degree preferred Experience At least 2-3 years of experience in a health plan quality department, specializing in health equity, required At least 5 years in health plan quality in a managed care organization highly preferred At least 3 years in health equity-facing role from a payor perspective highly preferred Experience in healthcare quality, health equity initiatives, population health, or related program coordination highly preferred Familiarity with QI methodologies and regulatory standards highly preferred Experience working with diverse communities or in community health, managed care, or hospital quality departments preferred Certification in healthcare quality or equity (e.g., CPHQ, CPHE, Lean Six Sigma) preferred Experience with SDOH screening tools, community partnerships, or health literacy initiatives preferred Knowledge, Skills, and Abilities Strong understanding of document management systems (DMS), such as SharePoint, OpenText, or Documentum, to manage digital files, track revisions, and maintain version control. Familiarity with cloud storage systems and collaboration tools like Google Drive, Dropbox, and Microsoft OneDrive. Experience with electronic records management (ERM) and data retention policies. Demonstrates awareness of importance of security, scalability, reliability and feasibility in solutions Seeks out information to better understand impacts of design and implementation of systems Evaluates service areas to identify opportunities for automation Ability to draft, revise, and implement company policies and standard operating procedures. Knowledge of compliance standards, including industry-specific regulations (e.g., healthcare HIPAA regulations, financial regulations, state and federal rules). Strong organizational skills to ensure policies and documents are properly filed, categorized, and easy to access. Ability to spot discrepancies or issues in documents and ensure compliance with required guidelines. Breaks complex topics into meaningful chunks of information. Seeks out multiple sources to gather information. Understanding of legal and regulatory requirements for document retention and management, including data privacy and security laws. Knowledge of audit procedures and the ability to prepare documentation for audits. Excellent written and verbal communication skills for drafting policies and procedures, as well as providing guidance to employees about document handling and compliance. Ability to train staff on document management practices and policy changes. Experience using document management software and workflow tools to streamline document processes and improve efficiency. Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and other productivity tools is often required. Familiarity with document control software for versioning, workflow management, and access permissions. Ability to manage multiple tasks or projects simultaneously, adhering to deadlines and ensuring that policies and documents are up to date. Experience with project management software, such as Trello or Microsoft Project, is beneficial. Ability to identify issues with document flow, retention, or compliance and propose solutions to resolve them. Strong critical thinking skills for analyzing policies and procedures to ensure they align with organizational goals and legal requirements. Excellent interpersonal skills, including the ability to influence others at all levels of an organization. Working Conditions This is a remote role that can be done from most US states Mass General Brigham Health Plan Holding Company, Inc. 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.