Job Description
Vice President, Medicare Strategy -CMMI
Renton, Washington
THE ROLE
This position has overall accountability for development and implementation of Medicare VBC strategy and related program management across Providence Health & Services. By partnering with regional and system leaders, this role will identify key regulatory opportunities for growth and operational performance and will lead development of specific recommendations and tactics to address the opportunities. This role will develop a proactive relationship with internal advocacy teams, and policy leaders in government and industry to position Providence as an industry leader in improving outcomes for their patient populations. The VP of Medicare Strategy will develop a multi-year roadmap for this program. This role will also be responsible for building and mentoring the Medicare VBC team, consisting of Program Leaders and analysts who manage and administer Medicare value based reimbursement programs across the system.
QUALIFICATIONS
Required experience/education for this position include:
• Master’s degree in Business Administration, Health Sciences, or other relevant discipline
• Ten years of progressively increasing responsibility in managed care/ health economics as part of a payer or healthcare delivery system.
• Expertise in Medicare Payment reform policies and demonstrated experience in implementing Medicare APMs such as MACRA/MIPS, CPC , PCF, MSSP, DC.
• Knowledge of CMS and ONC Health IT policy making and fluent in policies related to adoption of Health IT interoperability standards
• Demonstrated experience in developing successful working relationships with other organizations.
Preferred experience/education for this position include:
• Expertise in Population Health strategies and operational model strongly preferred.
• Training and background in implementation of change management initiatives at enterprise scale.
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Providence is an Equal Opportunity Employer.
At Providence, we use our voice to advocate for vulnerable populations and needed reforms in health care. We are also pursuing innovative ways to transform health care by keeping people healthy, and making our services more convenient, accessible and affordable for all. In an increasingly uncertain world, we are committed to high-quality, compassionate health care for everyone – regardless of coverage or ability to pay. We help people and communities benefit from the best health care model for the future – today.
Together, our 120,000 caregivers (all employees) serve in 51 hospitals, 1,085 clinics and a comprehensive range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The Providence family includes:
- Providence across five western states
- St. Joseph Health in Northern California
- Covenant Health in West Texas
- Facey Medical Foundation in Los Angeles, CA.
- Hoag Memorial Hospital Presbyterian in Orange County, CA.
- Kadlec in Southeast Washington
- Pacific Medical Centers in Seattle, WA.
- Swedish Health Services in Seattle, WA.
As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Delivering services across seven states, Providence is committed to touching millions of more lives and enhancing the health of the American West to transform care for the next generation and beyond.