Atrius Health is a nonprofit healthcare leader delivering a system of connected care that enables us to know our patients better so that we can serve them well. Across 32 clinical locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to more than 720,000 adult and pediatric patients across eastern Massachusetts.
The Atrius Health practices including Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical Associates and PMG Physician Associates – together with VNA Care – work in collaboration with hospital partners, community specialists and skilled nursing facilities, to develop innovative and effective ways of delivering care in the most appropriate setting, making it easier for patients to be healthy.
We believe that by establishing a solid foundation of knowledge, understanding and trust with each of our patients, we enrich their health and enhance their lives.
SUMMARY
Responsible for Medicare ACO and alternative payment program implementation, including the Medicare Shared Savings Program (MSSP) and Primary Care First (PCF). Identifies program requirements, identifies gaps, assesses impact, and establishes and completes projects to close gaps. Delivers accurate and timely MSSP and PCF provider list maintenance, provider notification, beneficiary notification, and other deliverables. Communicates programmatic changes to relevant functional and business owners. Ensures accurate and complete records retention for assigned programs. Provides recommendations to Sr. Director regarding evaluation of new Medicare alternative payment model opportunities.
GENERAL DUTIES AND RESPONSIBILITIES
§ Reviews proposed and final regulations to identify program changes and assess impact. Informs leaders as needed and provides advocacy recommendations to Sr. Director. Reviews contract amendments to identify issues, understand the impact, identify gaps, and establish projects to close gaps.§ Collaborates with Quality and Patient Experience leaders to ensure accurate and timely quality filings and patient experience of care survey completion.§ Establishes, documents, and implements processes to meet required deliverables, including PCF and MSSP provider lists, provider notice, CMS-required beneficiary notice individual letters, and CMS-required beneficiary notice posters. Routinely audits results to ensure accuracy, independently implementing process changes as needed and escalating to Sr. Director for more complex matters requiring more significant resourcing. § Liaises with finance and actuarial to ensure accuracy of revenue projections for PFC and MSSP projections.§ Manages ACO workgroup meetings: setting agendas, preparing presentations, ensuring guest presenters are prepared with presentations, and facilitating meeting.§ Responsible for updating, maintaining, and implementing MSSP monitoring plan, in partnership with compliance, implementing procedures to ensure Atrius Health complies with CMS requirements.§ Serves as internal subject matter expert to quality, finance, population health, post-acute network performance, and other functional areas, using working knowledge of MSSP and PCF requirements, quality measures, regulations, and agreements. Refers complex matters to the Sr. Director and informs Sr. Director where further clarification may be needed.§ Ensures complete and accurate records retention aligned with regulatory and contractual requirements. Meticulously documents CMS guidance and requirements, CMS reporting, any deliverables to CMS, and any clarification of requirements or reporting provided by CMS.§ Answers questions from patients and families regarding ACO programs, typically related to the beneficiary notification.§ On an annual basis or as allowed by CMS, responsible for SNF contracting administration: preparing timeline and project plan; clarifying roles and responsibilities; finalizing SNF Affiliate agreement template with any input from Sr. Director, compliance, legal, or post-acute network performance; preparing and transmitting agreements for signature; and filing executed agreements with CMS and internally.§ Where applicable, ensures Epic coverage accurately reflects assigned membership, collaborating with analytic, revenue operations, and Epic resources.§ Attends quarterly actuarial meetings and prepare summary of results for ACO workgroup.
EDUCATION/LICENSES/CERTIFICATIONS
EXPERIENCE
Three to five years of relevant experience in project management; program management; policy; contract management; or related healthcare, human services, or health plan experience required. Experience and interest in healthcare policy or value-based care preferred.
SKILLS
Strong organizational skills required. Ability to understand government program requirements. Strong analytic ability to assess programmatic and performance impact of regulatory and contractual changes. Ability to work collaboratively across departments to ensure coordinated efforts and clear communication. Excellent written and oral presentation skills. Excellent interpersonal skills to interact effectively with all levels of personnel in discussions and explanations of government requirements. Ability to manage small projects and to effectively work as part of a team on larger projects. Proficient with Microsoft Office.
Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation, and gender identity and/or expression, or other dimensions of diversity.
_Excellent benefits Include: _
Up to 8% company retirement contribution, Generous Paid Time Off 10 paid holidays,Paid professional development,Competitive health and welfare benefit packageJob: *Professional Non-Clinical
Organization: *Administration
Title: ACO Program Coordinator - Hybrid
Location: Newton MA - Riverside
Requisition ID: 122052