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Aledade PBC

Posted 5 days ago

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Program Specialist, CMMI Programs

Remote, United StatesRemoteFull-time

AI Summary

Manages day-to-day operations for CMMI ACO LEAD and REACH programs, including Zendesk communications, Monday.com process builds, Medicare data reporting, and cross-functional coordination to drive continuous improvement and program scaling.

About this role

Reporting directly to the Center for Medicare and Medicaid Innovation (CMMI) Program Manager, the Program Specialist will be a pivotal contributor to the operational excellence and strategic growth of our CMMI initiatives. This role is responsible for the intricate management and refinement of core program processes, ensuring seamless execution across all facets of CMMI models (LEAD & REACH). The Specialist will play a key role in analyzing program performance, identifying opportunities for optimization, and collaborating with diverse internal teams to implement innovative solutions that enhance engagement and outcomes within the CMMI model framework. This position is central to translating strategic vision into operational reality, driving the continuous improvement and successful scaling of CMMI models.
Candidates should be comfortable working remotely from anywhere within the US, across all US time zones.

Primary Duties

Working and supporting day-to-day ACO REACH & LEAD processes and operations:
  • Manage Zendesk incoming/outgoing communications for the CMMI team, responsible for all Zendesk tickets, escalating tickets as needed to the appropriate person/team
  • Find and build out solutions in Monday.com for any CMMI process and operations needs (Growth, SVA, Contacts, Practice lists, Provider lists, CMS tickets, etc.)
  • Utilize Medicare reports from 4i (quality, financial, claims reduction files, SVA response files) to generate reports so actionable insights and opportunities for improvement can be identified
  • Utilize reports, calendars, and internal tools (Tableau, Snowflake) to build out internal and external decks for Contract and Resource Meetings and Performance and Resource Meetings
  • Utilize insights, opportunities, and calendars to draft and maintain the Aledade LEAD newsletter and its distribution list
  • Manage the Beneficiary Zoom Voicemail for the CMMI team, ensuring that beneficiary questions are answered and logged for tracking and documentation purposes in Monday.com
    • Serve as a trusted planner, organizer, and executor for the CMMI team:
  • Plan in Monday.com based on the CMMI programs calendar distributed by CMS so all deadlines are scheduled and met, both internally and externally
  • Maintain CMMI programs Google Drive folders, prioritizing organization and appropriate access
  • Act as a thought partner in opportunities for CMMI process development, needs, or gaps
  • Provide suggestions and recommendations to ambiguous problems that align with program goals
  • Think critically and move work forward without clearly defined or outlined next steps
    • Act as a researcher and advisor for the CMMI team's special projects and cross-functional initiatives:
  • Contribute to broader, interdepartmental projects and meetings, including Field Team trainings, support, and inbound questions, as well as Project Turnkey support and coordination
  • Communicate statuses on operations and keep stakeholders informed on any progress and roadblocks
  • Develop implementation plans, communications, and rollout of approved necessary BE/BEIs (Telehealth)
  • Provide details and insights during CMMI team meetings based on the CMS ACO LEAD newsletter, with emphasis on communicating when reports and funds are expected to be released, upcoming changes within the program, and important deadlines
  • Serve as a resource to the PTS team to assist in addressing practice needs tied to CMMI operations

    • Minimum Qualifications:

  • Bachelor’s degree in a relevant field
  • 3+ years of progressive healthcare experience
  • Thrives in a fast-paced environment and manage multiple priorities
  • Familiar with project management tools such as Monday.com
  • Experience in data analytics using Excel or Google Sheets
  • Willingness to travel as needed to Aledade’s headquarters and other offsite meetings (less than 10% across the year anticipated)

    • Preferred KSA's:

  • Knowledge of CMS VBC programs
  • Can effectively adapt communication style based on audience needs
  • Frequently and effectively collaborates cross functionally
  • Exceptional written and verbal communications skills
  • Snowflake experience
  • Tableau experience
  • Self-starter with strong interpersonal skills
  • Proven ability to coordinate and facilitate new ideas into action while collaborating across multiple, dynamic, projects and teams

    • Physical Requirements:

  • Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.

    • Skills

    CMS VBC ProgramsExcelGoogle DriveGoogle SheetsMonday.comSnowflakeTableauTelehealth BE/BEI ImplementationZendeskZoom

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