Millennium Physician Group
Job Description Summary
The Manager, Program Performance is responsible for the ongoing management, compliance, and performance oversight of the organization’s Medicare Shared Savings Program (MSSP) ACO and future CMS successor models, as well as select commercial value-based arrangements. This role serves as the primary owner of MSSP program administration, including CMS system management, roster and participant file submissions, required reporting, and adherence to program rules. The position works closely with clinical leadership, finance, care management, and executive leadership to ensure the organization meets all CMS requirements while supporting program performance and sustainability.
Essential Duties And Responsibilities
Owns and manages CMS‑required systems supporting MSSP participation, including ACO‑MS
Oversees all required MSSP submissions, including but not limited to:
Provider and beneficiary roster management and submissions
Participant list maintenance
Network and eligibility validation
Ensures timely and accurate completion of CMS reporting requirements, including:
Annual, quarterly, and ad hoc submissions
Required attestations and documentation
Serves as the internal subject matter expert on MSSP program rules, timelines, and compliance requirements
Monitors CMS communications and guidance to ensure ongoing alignment with program requirements and regulatory updates
Develops and maintains standard reporting for executive and physician leadership related to MSSP performance and participation
Identifies data discrepancies, anomalies, and submission issues; coordinates corrections and resubmissions as needed
Supports audits, CMS inquiries, and validation requests related to MSSP participation
Prepares executive‑ready reports, summaries, and presentations and presents materials in leadership meetings
Participates in cross‑functional teams evaluating future CMS models or program transitions
Supports continuous improvement of data accuracy, submission processes, and system workflows
Minimum Required Knowledge and Experience
Bachelor’s degree
5+ years of healthcare experience
Medicare Advantage and MSSP ACO experience
Attention to detail
MS Office (Excel)
Critical thinking
Desire to learn / Intellectual curiosity
Preferred
Master’s degree in healthcare management or another related field
Experience with roster and network management
Experience with CMS systems including ACO‑MS
Seniority level: Mid‑Senior level
Employment type: Full‑time
Job function: Project Management and Information Technology
Industries: Hospitals and Health Care
#J-18808-Ljbffr
Essential Duties And Responsibilities
Owns and manages CMS‑required systems supporting MSSP participation, including ACO‑MS
Oversees all required MSSP submissions, including but not limited to:
Provider and beneficiary roster management and submissions
Participant list maintenance
Network and eligibility validation
Ensures timely and accurate completion of CMS reporting requirements, including:
Annual, quarterly, and ad hoc submissions
Required attestations and documentation
Serves as the internal subject matter expert on MSSP program rules, timelines, and compliance requirements
Monitors CMS communications and guidance to ensure ongoing alignment with program requirements and regulatory updates
Develops and maintains standard reporting for executive and physician leadership related to MSSP performance and participation
Identifies data discrepancies, anomalies, and submission issues; coordinates corrections and resubmissions as needed
Supports audits, CMS inquiries, and validation requests related to MSSP participation
Prepares executive‑ready reports, summaries, and presentations and presents materials in leadership meetings
Participates in cross‑functional teams evaluating future CMS models or program transitions
Supports continuous improvement of data accuracy, submission processes, and system workflows
Minimum Required Knowledge and Experience
Bachelor’s degree
5+ years of healthcare experience
Medicare Advantage and MSSP ACO experience
Attention to detail
MS Office (Excel)
Critical thinking
Desire to learn / Intellectual curiosity
Preferred
Master’s degree in healthcare management or another related field
Experience with roster and network management
Experience with CMS systems including ACO‑MS
Seniority level: Mid‑Senior level
Employment type: Full‑time
Job function: Project Management and Information Technology
Industries: Hospitals and Health Care
#J-18808-Ljbffr