OH, United States
8 days ago
MANAGER, REGULATORY AND INCENTIVE PROGRAMS - Full Time - Days

The Manager, Regulatory and Incentive Programs shall be responsible for the management of The Christ Hospital Physicians (TCHP) alignment and compliance with payor incentive program strategies.  As we transition from fee-for-service to payment on value it will be critically important to monitor and strategically respond to our external stakeholders.  

 

The Manager will continuously monitor federal, state and payor programs and serve as a key strategic advisor to the VP, Executive Medical Director and TCHP Leadership.  The Manager will be an expert resource for the following programs::

 

• Merit Based Incentive Payment System (MIPS), 

• Meaningful Use (MU)/ACI, 

• Physician Quality Reporting System (PQRS) 

• Comprehensive Primary Care Initiative (CPCi/CPC+)

• Patient Center Medical Home (PCMH) 

• Incentive-based contracts, regulatory program audits, and other regulatory programs

 

The Manager will be responsible for working collaboratively to build a reporting and audit structure across all service lines within TCHP. The Manager performs as TCHP’s subject matter expert for all regulatory programs and initiatives and informs the leadership team and stakeholders of regulatory changes in a timely fashion as program guidelines are modified by various regulatory agencies.

 

The Manager will also work with the VP, Executive Director and Leadership team to develop an ongoing relationship with Finance, Payor Relations and the Clinically Integrated Network leadership that helps to inform and identify opportunities for future payment/contracting strategies that align payor and internal capability to improve patient value through shared goals and programs.

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