Mercy Health BSMH-posted 10 days ago
Full-time • Manager
Remote • Amberley, OH
5,001-10,000 employees

Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities. Primary Function/General Purpose of Position Reporting to the System Director, the Manager of Government Payment Programs provides operational leadership and oversight of government-sponsored payment models within the Bon Secours Mercy Health Population Health department, such as but not limited to the Medicare Shared Savings Program (MSSP), Transforming Episode Accountability Model (TEAM) or other bundle payment models. The Manager is accountable for the successful execution and compliance of assigned value-based payment programs, serving as the subject matter expert and primary operational lead. This role partners with internal and external stakeholders to ensure strategic alignment and sustained success in advancing population health goals. This is a remote/work at home position. Hire must be open to working eastern time zone hours.

  • 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.
  • 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)
  • 5 years working in Medicare Shared Savings Program, BPCIA, or other value-based care programs, 2 years supervisory experience (Preferred)
  • 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
  • Benefits may vary based on the market and employment status.
  • All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [email protected]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected]
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