US Heart and Vascular is needing a Remote Quality Performance Manager to join our Value Based Care team.

Position Summary:

The Manager, Quality Programs leads organizational performance for all quality programs across US Heart and Vascular (USHV). This role is accountable for CMS Merit-based Incentive Payment System (MIPS) and emerging Center for Medicare & Medicaid Innovation (CMMI) models, such as the ASM Model. This role will serve as the subject matter expert (SME) for MIPS, CMS quality programs, value-based care (VBC) contract quality programs, and new VBC initiatives.

Responsibilities and Duties:

MIPS Program Oversight

• Analyzes client practices and assesses MIPS eligibility, participation options, and reporting requirements.
• Develops and implements MIPS compliance and optimization strategies.
• Assists with data collection, measures selection, and performance improvement initiatives.
• Reviews and interprets CMS guidelines and changes to MIPS reporting.
• Supports clients in preparing and submitting accurate MIPS data.
• Monitors and reports on MIPS performance metrics and improvement plans.
• Provides regular updates and training to clients and staff on MIPS requirements.
• Acts as a subject matter expert on MIPS and related CMS quality programs.

CMMI Model Evaluation & Readiness

• Evaluates new and emerging CMMI programs (e.g., AHEAD/ASM, etc.).
• Assesses organizational readiness and operational impact for participation in new federal pilots and models.
• Supports leadership in decision-making regarding participation, performance expectations, and financial implications.
• Develops implementation plans for adopted models, including performance monitoring and reporting structures.

VBC Contract Quality Oversight

• Develops annual performance targets aligned with payer metrics and quality measures
• Oversees data collection, validation, and submissions for CMS and commercial programs
• Partners with leadership to identify and prioritize high-impact performance initiatives.
• Prepares and presents materials for Joint Operations Committees (JOCs).
• Develops and administers training related to all VBC quality programs and measures.
• Translates data into actionable insights and develops targeted improvement plans with key stakeholders.

Performs other duties as assigned.

Knowledge, Skills and Abilities Required:

• Proven ability to lead cross-functional teams and drive strategic initiatives
• Expertise in data visualization, predictive modeling, and performance measurement
• Exceptional communication and presentation skills, with ability to influence executive stakeholders
• Proven history of collaborating with payers, providers, or both on high-priority, high-visibility initiatives
• Strong proficiency in data analysis tools for healthcare analytics and experience with reporting platforms such as Tableau.
• Knowledge of principles and practices of management and supervision.
• Understanding financial documents, budgets and resources allocation practices.
• Strong attention to detail and analytical skills, with the ability to accurately capture and interpret diagnostic images.
• Effective communication and teamwork skills, with the ability to work collaboratively with healthcare professionals and patients.
• Ability to handle potentially stressful situations with professionalism and composure.
• Knowledge of federal, state, and local laws, statutes, regulations, codes, and standards related to the area of responsibility.
• Knowledge of the principles, concepts, and theories relevant to the assigned functional area.
• Skill in completing assignments accurately and with attention to detail.
• Ability to communicate clearly and concisely both orally and in writing in English, to various audiences.
• Ability to manage time, organize work, set priorities, meet deadlines, and follow up on work assignments with minimal supervision.
• Ability to work independently, and as a team, to complete daily activities according to the work schedule.
• Working knowledge of Office 365 programs such as Excel, Outlook, Word, PowerPoint, etc.
• Supports the Mission, Vision and Values of USHV and the practices.

Minimum Qualifications

• Bachelor’s degree in healthcare administration, Public Health, Nursing, Business, or related field (or equivalent experience).
• Five (5) years' experience in healthcare quality, population health, analytics, or value-based program management.

• In-depth knowledge of CMS QPP, MIPS, and quality metrics.
• Strong analytical skills with the ability to interpret data and convert insights into recommendations.
• Excellent communication, presentation, and stakeholder engagement skills.
• Proficiency in Microsoft Excel, Power BI, Tableau, or similar analytics tools.

Preferred Qualifications:

• Certifications such as CPC, CPHQ, or CMHP.