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Program Manager - Regulatory Programs

Posted By Kim Volberg, Wednesday, March 13, 2019

SSM Health - Dean Medical Group

Program Manager - Regulatory Programs


Role Purpose:


The core responsibility of this highly visible position is the overall management the organization’s performance under the Medicare Access & CHIP Reauthorization Act (MACRA).  This includes the organization’s participation in the Merit-Based Incentive Payment System (MIPS) track with a goal of successfully transitioning to the risk-based Alternative Payment Model (APM) track.  The incumbent is responsible for overall compliance with federal requirements, responding to any Centers for Medicare and Medicaid Services (CMS) audits, leading the Regional MACRA Steering team, organizational strategy and education, and regular communication with leadership.  In addition, this position will manage and coordinate the activities of the Clinical Documentation Specialist (CDS) team within an environment of continuous quality and process improvement.  The CDS team is primarily responsible for helping to maintain current, accurate, and specific patient Problem Lists in the electronic health record.


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