As a management services organization (MSO), Continuum Health delivers proven solutions to provider groups and aggregators, helping foster self-sufficiency by maximizing fee-for-service payments, transitioning them to value-based programs and preparing them for risk. Continuum also collaborates with payers to help drive value-based adoption among providers and improve the health outcomes of patients. The company optimizes performance through revenue cycle management, value-based care, practice management services and specialty care solutions. More than 1,500 primary care physicians, specialists and nurse practitioners caring for more than 1 million patients depend on Continuum’s business and clinical experts to help achieve their goals. Learn more at www.continuumhealth.net.
The Senior Medicare Program Analyst integrates Medicare and Medicare Advantage alternative payment model knowledge with practical program management experience. S/he facilitates the documentation, communication and execution or Medicare alternative payment model programs across internal and external customers. The successful candidate will demonstrate success enhancing Continuum Health’s people, process and technology in support of successful program execution across a range of value-based programs.
The Senior Medicare Program Analyst improves the ability of our organization to support physicians in various practice models including single tax ID number practices, independent physician associations and employed physician arrangements. In addition, the successful candidate will understand and be able to communicate the specific requirements or various Medicare and Medicare Advantage alternative payment models including MACRA/MIPS, STARs and Risk Adjustment.
The Senior Medicare Program Analyst will support the Vice President of Integrated Care/Payor Strategy in maximizing revenue from various commercial, Medicare Advantage and Medicaid health plan contracts through the successful execution of contractual quality incentives.
WORKING CONDITIONS AND PHYSICAL DEMANDS:
MINIMUM EDUCATION, LICENSURE, CERTIFICATION, AND EXPERIENCE REQUIRED:
The Senior Medicare Program Analyst must hold a bachelor’s degree. A master’s degree in healthcare or business information is preferred.