Upvote
Downvote
AVP Payor Initiatives
Share Job
- Suggest Revision
Full-time
- The programs the AVP will have oversight for include but are not limited to: MACRA/MIPS, 21st Century CURES, Centers for Medicare and Medicaid Innovation (CMMI) projects; Accountable Care Organizations (ACO); Advanced Alternative Payment Models (AAPM); Medicare Advantage; and commercial payer value programs.
- Additionally, the AVP provides strategic planning, oversight, and management for CMS annual data submissions via multiple modalities (registries, QCDRs, eCQMs), develops and implements processes supporting reconciliation of submissions and data exchange between PSG and payers, and directs the evaluation and management of provider and entity (TIN) eligibility for government and other payer programs.
- The AVP leads the implementation and support planning for the VBC program impact of new hospital-based provider acquisitions, divestitures, and joint ventures.
- Previous extensive experience working with the analysis and implementation of government and/or commercial payer value-based programs such as MACRA/MIPS, Centers for Medicare and Medicaid Innovation (CMMI) projects; Accountable Care Organizations (ACO); Advanced Alternative Payment Models; Medicare Advantage; commercial pay for performance programs, Meaningful Use, PQRS, Core Measures, etc.
- Expert level Excel skills and previous development experience with business intelligence and analytics tools (such as Business Objects, MicroStrategy, Tableau, etc) required
Active Job
Updated 5 days agoSimilar Job
Relevance
Active