Manager - Government Payment Programs

Manager Of Government Payment Programs

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)