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Mercy Health · 1 month ago

Manager - Government Payment Programs - Population Health

Plain City, OH

Full-time

Onsite

Mid, Senior Level

2+ years exp

Mercy Health is dedicated to helping patients achieve wellness in mind, body, and spirit. The Manager of Government Payment Programs provides operational leadership and oversight of government-sponsored payment models, ensuring compliance and successful execution of value-based payment programs.

Health CareNon Profit

Responsibilities

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

Qualification

Value-based care programsMedicare Shared Savings ProgramHealthcare AdministrationHealthcare FinancePolicy developmentLeadershipCross-functional collaboration