Vytalize Health · 14 hours ago
Sr. Director ACO Quality Operations
United States
Full-time
Remote
Senior Level, Lead/Staff, Director/Executive
5+ years exp
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Responsibilities
Lead ACO Quality Reporting: Ensure timely and accurate reporting for MSSP, REACH. This includes oversight of GPRO, eCQMs, Medicare CQMs, and other applicable measures.
Subject Matter Expertise: Provide expert knowledge on MSSP, REACH, and Quality Payment Program (MIPS) reporting. Explain program differences and maintain updated knowledge on quality reporting content and annual changes.
Data Collection and Submission: Coordinate and support the required processes to ensure timely data collection, validation, and submission of quality measures, including CAHPS registration and contracting for MSSP and REACH.
Performance Monitoring and Improvement: Lead initiatives to track and enhance quality performance, ensuring compliance with CMS guidelines and improving ACO performance across measures.
Create Educational Content: Develop and deliver education materials and training to internal and external stakeholders, enhancing their understanding of ACO Quality Reporting and Quality Payment Program topics.
Collaborate Across Teams: Work closely with data analytics, performance teams, and external vendors to ensure efficient data collection, reporting, and performance monitoring processes. Identify workflow gaps and recommend solutions for improvement.
Compliance and CMS Guidance: Stay informed on CMS guidance and reporting updates available through ACOMS, 4i, QPP, and other partners to inform decision-making and action plans. Communicate with internal compliance team members and CMS Help Desks as needed to clarify regulations.
Project Management: Coordinate all necessary processes, resources, and tools to meet CMS reporting deadlines, managing staff and external resources to ensure project success.
Qualification
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Required
Bachelor's degree in Healthcare Administration, Public Health, Nursing, or a related field
Minimum of 5 years of experience in healthcare quality reporting and administration
Proven experience leading and managing MSSP Quality Reporting, GPRO data collection, and electronic quality reporting
Creating and delivering education to internal and external stakeholders about ACO Quality
In-depth understanding of CMS regulations, MSSP, and ACO quality reporting requirements
Proficiency in electronic quality reporting workflows
Excellent communication skills, both written and verbal
High level of attention to detail and the ability to manage multiple priorities in a fast-paced environment
Preferred
Master's degree in Healthcare Administration, Public Health, Nursing, or a related field
Relevant healthcare quality certification (e.g., CPHQ, RHIA, or equivalent)
Benefits
Competitive base compensation
Annual bonus potential
Health benefits effective on start date; 100% coverage for base plan, up to 90% coverage on all other plans for individuals and families
Health & Wellness Program; up to $300 per quarter for your overall well-being available on start date
401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary
Unlimited (or generous) paid "Vytal Time", and 5 paid sick days after your first 90 days
Company paid STD/LTD
Technology setup
Company
Vytalize Health
Vytalize Health provides ACO solutions to help doctors accelerate the transition to value-based care.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$175.5MKey Investors
Enhanced Healthcare PartnersKittyHawkHudson River Capital Partners
2023-02-22Series C· $100M
2022-04-11Series B· $47M
2022-04-11Debt Financing· $6M
Leadership Team
Faris Ghawi
Co-founder, Chief Executive Officer
Omar Elrabie
Co-founder, Chief Business Development Officer
Recent News
Company data provided by crunchbase
