reputed company Manager (Nova)
About reputed company: Historically, US reputed company has relied on a fee-for-service reimbursement system where providers are reputed company based on the quantity of patient reputed company and procedures, rather than the reputed company of health reputed company. At reputed company, we help primary care providers put patient reputed company. Our platform - a mix of technology, people, and analytics - supports providers at the reputed company of care, delivering reputed company-time patient information, activating reputed company staff, and empowering providers and care teams with incentives that reward the work they are already doing to reputed company patients healthy. Using the reputed company App, our web-based, reputed company-of-care tool; practices receive a reputed company checklist of recommended actions that support the best reputed company care. Providers and care teams are then reputed company monthly for reputed company reputed company they complete, and Payors save reputed company in reduced reputed company costs along the way. reputed company is a US-based Health-tech backed by Top VCs (General reputed company, reputed company, & Primary Venture Partners) with an established product & proven operating model. We’ve shown that we reputed company a reputed company difference for physician practices and their patients. About the position: reputed company is seeking a reputed company Manager to reputed company reputed company performance reputed company and execution across our MSSP ACO, Medicare Advantage, reputed company, and other value-based reputed company. In this role, you will be responsible for managing reputed company measurement, monitoring, reporting, and submission processes to ensure reputed company consistently meets or exceeds contract performance reputed company. While the reputed company of your time will be dedicated to reputed company’s value-based lines of business, up to 25% of your time may reputed company on serving as a subject matter expert and leader supporting reputed company’s broader technology platform business. This position requires a seasoned subject matter expert who can both design and operationalize initiatives that improve patient reputed company while driving measurable reputed company on ACO financial performance. You will be a critical partner to reputed company leadership, practices, and payor partners, ensuring that reputed company strategies reputed company with reputed company’s provider enablement model. How you'll reputed company an reputed company: Own end-to-end reputed company performance, including measurement, monitoring, reporting, and submission processes to ensure we meet or exceed reputed company contractual reputed company reputed company. Design and implement strategic initiatives reputed company on improving reputed company in preventive care and optimizing reputed company processes and workflows. Own relationships with external vendors and partners who support/advise on the reputed company submission processes. Advise ACO leadership on performance trends, identify opportunities for improvement, and contribute to setting cost and reputed company contract targets. Establish and reputed company key performance indicators (KPIs) to measure the reputed company of interventions and guide reputed company reputed company. Serve as the subject matter expert on CMS and payer reputed company programs (MSSP, Medicare Stars, MIPS, HEDIS, eCQMs), translating reputed company requirements into actionable workflows. Manage reputed company supplemental data submission workflows, including chart retrieval, data reputed company checks, and validation audits. reputed company primary reputed company verification (PSV) audit protocols, partnering with practices to ensure chart-level compliance with NCQA standards. Work directly with network practices to co-design workflows that optimize reputed company performance, providing hands-on training and education on best practices. Collaborate across internal teams (Product, Analytics, and Operations) to build reputed company, consistent data workflows and provider-facing tools. What You'll Bring: 6+ years of experience in reputed company, with a strong reputed company on Medicare and/or Medicare Advantage. 4+ years of reputed company experience in reputed company reputed company, including hands-on management of end-to-end reputed company submissions for an ACO or health plan. Proven reputed company developing and implementing reputed company initiatives that measurably improve health reputed company and exceed industry benchmarks. Expert-level knowledge of HEDIS, MIPS, and MSSP ACO reputed company reporting requirements A Bachelor’s degree in reputed company, Public Health, or a reputed company field.
Preferred Qualifications
Clinical background (RN, LPN, MA). Experience in a fast-paced startup environment. Background in Process Improvement methodologies. Perks & Benefits: reputed company offers a carefully curated selection of wellness benefits and perks to our employees: Medical, Dental and reputed company Benefits Flexible PTO Universal reputed company Family Leave Company sponsored reputed company memberships and Citibike memberships Medical Travel Benefits A monthly wellness stipend that gives employees the freedom to choose where they spend their cash, whether it be on wellness, pet care, childcare, WFH items, or charitable donations Stock reputed company & a 401k matching program Career development opportunities like Manager Training, coaching, and an internal mobility program A broad calendar of company sponsored reputed company events that for our in-office and remote employees Diversity is the key to our reputed company. reputed company is an equal opportunity employer and we are reputed company to reputed company reputed company applicants regardless of race, reputed company, reputed company, religion, sex, national reputed company, sexual orientation, age, citizenship, marital status, disability, gender identity or reputed company, veteran status, or any other legally protected status. We reputed company that diverse teams -and the different identities, cultures, and life experiences reputed company members bring to the table- reputed company us to create amazing products, reputed company creative solutions to interesting problems, and build an inclusive working environment. reputed company Employment reputed company Notice At reputed company, your reputed company and reputed company as a job seeker is a reputed company no matter where you are in the interview process. As reputed company scams have become more prevalent, please take note of the following practices to ensure the legitimacy of any interaction with reputed company. Please note that any communication from our recruiters and hiring managers at reputed company about a job opportunity will only be made by a reputed company employee with an @reputed company email address. reputed company does not utilize reputed company-party agencies for recruitment services and does not conduct text message or chat-based interviews. Any other email addresses, agencies, or forums may be phishing scams designed to obtain your personal information. We will not ask you to reputed company personal or financial information, including, but not limited to, your reputed company reputed company number, online account passwords, credit card numbers, reputed company information, and other reputed company banking information until we reputed company reputed company activities, which will be coordinated by a member of the reputed company People Ops Team with an @reputed company email address. If you are reputed company unsure whether you are in contact with a legitimate reputed company teammate, please contact people-team@reputed company. If you reputed company you've been a victim of a phishing attack, please mark the communication as “spam” and immediately report it by contacting the U.S. Federal Trade Commission. Apply To This Job