Manager - Government Payment Programs - Population Health jobs in United States
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Bon Secours Mercy Health · 1 month ago

Manager - Government Payment Programs - Population Health

Bon Secours Mercy Health is dedicated to improving health care quality and safety. The Manager of Government Payment Programs will provide operational leadership and oversight of government-sponsored payment models, ensuring compliance and successful execution of value-based payment programs.

Health Care

Responsibilities

Provide leadership and direction for the daily operations of assigned government payment programs, ensuring compliance with regulatory requirements and achieving performance goals
Monitor program updates, interpret federal and state regulations, and proactively adjust operational processes to maintain alignment and compliance
Develop, implement, and oversee policies, procedures, and process improvements to optimize program performance
Lead cross-functional collaboration with clinical, financial, operational, and IT teams to integrate program requirements into workflows and drive organizational alignment
Maintains required publicly reported ACO websites and ensures accuracy of published information
Evaluate and support the implementation of new government payment models and value-based care initiatives, providing operational leadership and guidance
Track and report on key program metrics to leadership, identifying risks, opportunities, and recommended actions
Serve as the organizational subject matter expert on assigned programs, educating and advising leadership and staff across departments
Contribute to broader Population Health strategies and initiatives as needed, ensuring consistency with system goals and objectives

Qualification

Value-based care programsMedicare Shared Savings ProgramHealthcare AdministrationHealthcare FinanceCross-functional collaboration

Required

Bachelors Degree in Healthcare Administration, Business, Health Policy, Public Health, Healthcare Finance, or related field (Required)
2 years' experience in value-based care programs (CMS and CMMI programs- MSSP, BPCIA, ACO Reach, TEAM, etc..) (Required)

Preferred

5 years working in Medicare Shared Savings Program, BPCIA, or other value-based care programs, 2 years supervisory experience (Preferred)

Benefits

Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support

Company

Bon Secours Mercy Health

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Bon Secours Mercy Health is a network of hospitals that serves as a catholic healthcare ministry.

Funding

Current Stage
Late Stage

Leadership Team

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Chris Hilton
CFO, Hospital & Integrated Operations
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Veronica Scott-Fulton
System Chief Nurse Executive
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