Manager of Program Performance
About The Position
The Manager, Program Performance is responsible for the ongoing management, compliance, and performance oversight of the organization’s Medicare Shared Savings Program (MSSP) ACO and future CMS successor models, as well as select commercial value-based arrangements. This role serves as the primary owner of MSSP program administration, including CMS system management, roster and participant file submissions, required reporting, and adherence to program rules. The position works closely with clinical leadership, finance, care management, and executive leadership to ensure the organization meets all CMS requirements while supporting program performance and sustainability.
Requirements
- Bachelors degree
- 5+ years of healthcare experience
- Medicare Advantage and MSSP ACO experience
- Attention to detail
- MS Office (Excel)
- Critical thinking
- Desire to learn / Intellectual curiosity
Nice To Haves
- Master’s degree in healthcare management or another related field
- Experience with roster and network management
- Experience with CMS systems including ACO-MS
Responsibilities
- Owns and manages CMS-required systems supporting MSSP participation, including ACO-MS
- Oversees all required MSSP submissions, including but not limited to: Provider and beneficiary roster management and submissions Participant list maintenance Network and eligibility validation
- Ensures timely and accurate completion of CMS reporting requirements, including: Annual, quarterly, and ad hoc submissions Required attestations and documentation
- Serves as the internal subject matter expert on MSSP program rules, timelines, and compliance requirements
- Monitors CMS communications and guidance to ensure ongoing alignment with program requirements and regulatory updates
- Develops and maintains standard reporting for executive and physician leadership related to MSSP performance and participation
- Identifies data discrepancies, anomalies, and submission issues; coordinates corrections and resubmissions as needed
- Supports audits, CMS inquiries, and validation requests related to MSSP participation
- Prepares executive-ready reports, summaries, and presentations and presents materials in leadership meetings
- Participates in cross-functional teams evaluating future CMS models or program transitions
- Supports continuous improvement of data accuracy, submission processes, and system workflows
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
501-1,000 employees
