Program Specialist, CMMI Programs

Summary

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.$80,000 - $92,000 a yearSalary Range: $80,000-$92,000 base + bonus + equityCompensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience.Primary DutiesWorking 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/teamFind 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 identifiedUtilize reports, calendars, and internal tools (Tableau, Snowflake) to build out internal and external decks for Contract and Resource Meetings and Performance and Resource MeetingsUtilize insights, opportunities, and calendars to draft and maintain the Aledade LEAD newsletter and its distribution listManage the Beneficiary Zoom Voicemail for the CMMI team, ensuring that beneficiary questions are answered and logged for tracking and documentation purposes in Monday.comServe 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 externallyMaintain CMMI programs Google Drive folders, prioritizing organization and appropriate accessAct as a thought partner in opportunities for CMMI process development, needs, or gapsProvide suggestions and recommendations to ambiguous problems that align with program goalsThink critically and move work forward without clearly defined or outlined next stepsAct 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 coordinationCommunicate statuses on operations and keep stakeholders informed on any progress and roadblocksDevelop 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 deadlinesServe as a resource to the PTS team to assist in addressing practice needs tied to CMMI operationsMinimum QualificationsBachelor's degree in a relevant field3+ years of progressive healthcare experienceThrives in a fast-paced environment and manage multiple prioritiesFamiliar with project management tools such as Monday.comExperience in data analytics using Excel or Google SheetsWillingness to travel as needed to Aledade's headquarters and other offsite meetings (less than 10% across the year anticipated)Preferred KSA'sKnowledge of CMS VBC programsCan effectively adapt communication style based on audience needsFrequently and effectively collaborates cross functionallyExceptional written and verbal communications skillsSnowflake experienceTableau experienceSelf-starter with strong interpersonal skillsProven ability to coordinate and facilitate new ideas into action while collaborating across multiple, dynamic, projects and teamsPhysical RequirementsSitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.Flexible work schedules and the ability to work remotely are available for many rolesHealth, dental and vision insurance paid up to 80% for employees, dependents and domestic partnersRobust time-off plan (21 days of PTO in your first year)Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parentsSix weeks paid sabbatical after six years of serviceEducational Assistant Program and Clinical Employee Reimbursement Program401(k) with up to 4% matchStock optionsAnd much more!Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:At Aledade PBC, don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.#J-18808-Ljbffr

Job Description

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.$80,000 - $92,000 a yearSalary Range: $80,000-$92,000 base + bonus + equityCompensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience.Primary DutiesWorking 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/teamFind 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 identifiedUtilize reports, calendars, and internal tools (Tableau, Snowflake) to build out internal and external decks for Contract and Resource Meetings and Performance and Resource MeetingsUtilize insights, opportunities, and calendars to draft and maintain the Aledade LEAD newsletter and its distribution listManage the Beneficiary Zoom Voicemail for the CMMI team, ensuring that beneficiary questions are answered and logged for tracking and documentation purposes in Monday.comServe 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 externallyMaintain CMMI programs Google Drive folders, prioritizing organization and appropriate accessAct as a thought partner in opportunities for CMMI process development, needs, or gapsProvide suggestions and recommendations to ambiguous problems that align with program goalsThink critically and move work forward without clearly defined or outlined next stepsAct 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 coordinationCommunicate statuses on operations and keep stakeholders informed on any progress and roadblocksDevelop 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 deadlinesServe as a resource to the PTS team to assist in addressing practice needs tied to CMMI operationsMinimum QualificationsBachelor's degree in a relevant field3+ years of progressive healthcare experienceThrives in a fast-paced environment and manage multiple prioritiesFamiliar with project management tools such as Monday.comExperience in data analytics using Excel or Google SheetsWillingness to travel as needed to Aledade's headquarters and other offsite meetings (less than 10% across the year anticipated)Preferred KSA'sKnowledge of CMS VBC programsCan effectively adapt communication style based on audience needsFrequently and effectively collaborates cross functionallyExceptional written and verbal communications skillsSnowflake experienceTableau experienceSelf-starter with strong interpersonal skillsProven ability to coordinate and facilitate new ideas into action while collaborating across multiple, dynamic, projects and teamsPhysical RequirementsSitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.Flexible work schedules and the ability to work remotely are available for many rolesHealth, dental and vision insurance paid up to 80% for employees, dependents and domestic partnersRobust time-off plan (21 days of PTO in your first year)Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parentsSix weeks paid sabbatical after six years of serviceEducational Assistant Program and Clinical Employee Reimbursement Program401(k) with up to 4% matchStock optionsAnd much more!Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:At Aledade PBC, don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.#J-18808-Ljbffr