Manager – Government Payment Programs

November 6

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Bon Secours Mercy Health

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Healthcare Insurance

Bon Secours Mercy Health is a leading health care organization committed to transforming health care delivery and services through strategic innovation and compassionate care. Operating hospitals and clinical sites in the U. S. and Ireland, the organization focuses on extending health care access, improving patient outcomes, and enhancing value through emerging technologies and strategic partnerships. With a commitment to service and stewardship, Bon Secours Mercy Health also prioritizes enhancing the quality of life for underserved communities while advocating for sustainability. The organization’s initiatives include digital innovation, diversified growth through investments and partnerships, and providing high-value care across its core clinical operations.

10,000+ employees

Founded 2018

⚕️ Healthcare Insurance

📋 Description

• 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. • Maintain required publicly reported ACO websites and ensure 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.

🎯 Requirements

• 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)

🏖️ Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, 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