Manager, CMS Merit Incentive Program
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. No Job ID etc. Remove boilerplate. Must preserve all substantive info.
We need to parse the posting.
Content:
- "This exempt role can is a HYBRID role with travel to New Providece, NJ." (typo: New Providece maybe New Providence? We'll keep as given). So location/hybrid info.
- "Compensation Range: $90,000 to $125,000/Annually (Commensurate with experience, qualifications, and demonstrated CMS Merit Incentive Program and healthcare experience.)"
We need Pay section only if posting actually states them. It does state compensation range. So we can include Pay section with that range. However note the phrase "Commensurate with experience..." is filler? It's part of the compensation description. We should keep the range and maybe note it's commensurate. The instruction: never emit a heading followed by filler/placeholder text (e.g., "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. The phrase "commensurate with experience" is not filler? It's a qualifier but might be considered filler? The instruction says never emit a heading followed by filler/placeholder text (e.g., "commensurate with experience", ...). That suggests we should not include a Pay section if the only content is "commensurate with experience". But we have actual numbers: $90,000 to $125,000/Annually. So we can include Pay section with that range, maybe also note it's commensurate? The instruction says never emit a heading followed by filler/placeholder text (e.g., "commensurate with experience", ...). It doesn't say we cannot include that phrase as part of content; just that we shouldn't have a heading with only filler. So we can include the range and maybe also mention it's commensurate. Probably safe to include the range.
- Next paragraph: "The Manager of the CMS Merit Incentive Program leads provider enablement for Medicare Advantage and Individual business lines, focusing on improving clinical and financial outcomes through value-based arrangements. This role requires expertise in Medicare Advantage, CMS Stars Program, and strong business acumen to drive competitive performance and manage teams effectively."
That's about the role description. Could be "About the role" section.
- Then bullet-like paragraphs: "Lead provider enablement and performance: Responsible for implementing provider enablement strategies to enhance Medicare Advantage Star Ratings and risk adjustment results by engaging providers and improving clinical and financial performance."
- "Strategic and operational expertise: Requires strategic provider engagement skills, operational oversight of incentive payment processes, and leadership experience within healthcare or payer health plan environments."
- "Program management and collaboration: Oversees Medicare Quality Improvement Programs, collaborates on value-based arrangements, drives provider engagement in clinical programs, and ensures compliance with CMS expectations while managing cross-functional teams to deliver results."
- "This position reports to the VP, Payer and Strategy Relations."
Then "Key Responsibilities" heading appears in text. Then a long list of responsibilities (each sentence). We need to put those under Responsibilities section as - .
Then "Qualifications" heading appears. Then qualifications: "BA/BS degree in Business, Health Care Administration and/or social sciences or clinically related. 10 years of experience working with physicians or health plans or equivalent combination of education and experience."
We need to output sections: About the role (maybe from first paragraphs), Responsibilities (the list after Key Responsibilities), Qualifications (the list after Qualifications). Possibly also include a Skills section? Not explicitly listed; but there are skills mentioned: expertise in Medicare Advantage, CMS Stars Program, strong business acumen, strategic provider engagement skills, operational oversight, leadership experience. Could be considered Skills. However instruction: prefer a few substantive sections over many thin ones. We could combine skills into About the role or Responsibilities. But we have a Qualifications section already. The posting also mentions "expertise in Medicare Advantage, CMS Stars Program, and strong business acumen". That could be part of About the role. We'll keep About the role covering the descriptive paragraphs.
Pay section: include compensation range.
Schedule: not mentioned (hybrid role with travel). Hybrid indicates schedule? Not explicit schedule like full-time, part-time. Could infer full-time but not stated. So we should not create Schedule section unless explicitly stated. Hybrid role indicates work arrangement but not schedule. So we skip Schedule.
Benefits: not mentioned. So skip Benefits.
Thus sections: About the role, Responsibilities, Qualifications, Pay.
We need to output HTML fragment only, no /. Use
for each section heading. Use - for lists. Use
for prose.
We must not repeat job title as heading. No Job ID.
We must preserve all substantive information. Ensure we include location/hybrid/travel info, compensation range, role description, responsibilities list, qualifications list.
Let's extract details.
About the role prose:
- "This exempt role can is a HYBRID role with travel to New Providece, NJ." (maybe fix grammar? We must preserve info, not invent or summarize away detail. Should we keep the exact text? It says "can is" which is likely a typo. We should preserve as given? The instruction: preserve ALL substantive information; do NOT invent or summarize away detail. It doesn't say we must correct typos. Probably we should keep the text as is, but maybe we can keep it as is. However it's awkward. Might be better to keep exactly: "This exempt role can is a HYBRID role with travel to New Providece, NJ." We'll keep.
- Compensation range: "Compensation Range: $90,000 to $125,000/Annually (Commensurate with experience, qualifications, and demonstrated CMS Merit Incentive Program and healthcare experience.)" We'll include in Pay section.
- Role description paragraph: "The Manager of the CMS Merit Incentive Program leads provider enablement for Medicare Advantage and Individual business lines, focusing on improving clinical and financial outcomes through value-based arrangements. This role requires expertise in Medicare Advantage, CMS Stars Program, and strong business acumen to drive competitive performance and manage teams effectively."
- Then the three bullet-like paragraphs (Lead provider enablement and performance..., Strategic and operational expertise..., Program management and collaboration...). These could be part of About the role or Responsibilities. Since we have a Responsibilities section later with detailed list, we could keep these as part of About the role (they are more high-level). We'll include them in About the role as paragraphs.
- Then "This position reports to the VP, Payer and Strategy Relations." Could be part of About the role.
Now Responsibilities: after "Key Responsibilities" we have a long list of sentences each starting with a verb. We'll turn each into
- .
Let's list them:
1. Serve as the centralized lead for all MIPS quality reporting activities across the organization.
2. Oversee ongoing MIPS workflow review, compliance monitoring, reporting validation, and due diligence related to measuring performance and documentation integrity.
3. Conduct routine audits of provider and staff workflows to identify gaps impacting MIPS capture, reporting accuracy, and outcomes.
4. Monitor and analyze MIPS performance trends, identify at-risk measures, and coordinate remediation plans with operations leadership, providers, IT, and clinical teams.
5. Review and validate MIPS reporting outputs, documentation workflows, utilization, and measure logic to ensure reporting accuracy and consistency across divisions.
6. Manage and coordinate all MIPS-related training initiatives for providers, office managers, campus trainers, clinical staff, virtual scribes, and operational leadership.
7. Facilitate structured MIPS education sessions covering:
- Measure documentation workflows in Nextech
- Reporting and dashboard review
- Workflow remediation and optimization
- Regulatory updates and reporting requirements
8. Act as the primary liaison between operations, Anatomy IT, Nextech, Verana/IRIS Registry, compliance teams, and organizational leadership for all MIPS-related initiatives and issue resolution.
9. Participate in recurring executive, divisional, and vendor meetings regarding MIPS reporting, system functionality, regulatory updates, ticket management, and workflow optimization.
10. Lead projects, retrospective chart reviews, documentation remediation efforts, and year-end performance optimization initiatives.
11. Support integrations, acquisitions, EHR transitions, and operational rollouts to ensure continuity of MIPS reporting workflows and regulatory compliance.
12. Develop and maintain standardized MIPS workflows, documentation guides, quick-reference materials, and operational policies.
13. Monitor CMS specification changes, registry updates, and vendor communications to proactively adjust workflows and reporting strategies as needed.
14. Ensure organizational readiness for MIPS submission periods, audits, reporting deadlines, and compliance reviews.
15. Serve as an internal subject matter expert for MIPS-related operational, regulatory, and workflow questions across all divisions.
16. Maintain strong cross-functional collaboration with operations, compliance, IT, revenue cycle, providers, virtual scribe teams, and external vendors to support ongoing reporting success and scalability.
Note that item 7 includes a sublist. We need to represent that as nested
- maybe. The instruction: Use
- for any list of duties/requirements/benefits. So we can have a
for the main responsibilities, and within item 7 we can have a nested for the subpoints.
We must preserve all substantive information, so include the subpoints.
Now Qualifications: after "Qualifications" we have:
- BA/BS degree in Business, Health Care Administration and/or social sciences or clinically related.
- 10 years of experience working with physicians or health plans or equivalent combination of education and experience.
We'll put each as - .
Now Pay section: we need to include compensation range. Could be a
with the range. Also maybe include the note about commensurate. We'll include the full sentence.
Now About the role section: combine the paragraphs.
Let's craft HTML:
About the role
This exempt role can is a HYBRID role with travel to New Providece, NJ.
The Manager of the CMS Merit Incentive Program leads provider enablement for Medicare Advantage and Individual business lines, focusing on improving clinical and financial outcomes through value-based arrangements. This role requires expertise in Medicare Advantage, CMS Stars Program, and strong business acumen to drive competitive performance and manage teams effectively.
Lead provider enablement and performance: Responsible for implementing provider enablement strategies to enhance Medicare Advantage Star Ratings and risk adjustment results by engaging providers and improving clinical and financial performance.
Strategic and operational expertise: Requires strategic provider engagement skills, operational oversight of incentive payment processes, and leadership experience within healthcare or payer health plan environments.
Program management and collaboration: Oversees Medicare Quality Improvement Programs, collaborates on value-based arrangements, drives provider engagement in clinical programs, and ensures compliance with CMS expectations while managing cross-functional teams to deliver results.
This position reports to the VP, Payer and Strategy Relations.
Then Pay:
Pay
Compensation Range: $90,000 to $125,000/Annually (Commensurate with experience, qualifications, and demonstrated CMS Merit Incentive Program and healthcare experience.)
Then Responsibilities:
Responsibilities
- Serve as the centralized lead for all MIPS quality reporting activities across the organization.
- Oversee ongoing MIPS workflow review, compliance monitoring, reporting validation, and due diligence related to measuring performance and documentation integrity.
- Conduct routine audits of provider and staff workflows to identify gaps impacting MIPS capture,
for each section heading. Use - for lists. Use
for prose.
We must not repeat job title as heading. No Job ID.
We must preserve all substantive information. Ensure we include location/hybrid/travel info, compensation range, role description, responsibilities list, qualifications list.
Let's extract details.
About the role prose:
- "This exempt role can is a HYBRID role with travel to New Providece, NJ." (maybe fix grammar? We must preserve info, not invent or summarize away detail. Should we keep the exact text? It says "can is" which is likely a typo. We should preserve as given? The instruction: preserve ALL substantive information; do NOT invent or summarize away detail. It doesn't say we must correct typos. Probably we should keep the text as is, but maybe we can keep it as is. However it's awkward. Might be better to keep exactly: "This exempt role can is a HYBRID role with travel to New Providece, NJ." We'll keep.
- Compensation range: "Compensation Range: $90,000 to $125,000/Annually (Commensurate with experience, qualifications, and demonstrated CMS Merit Incentive Program and healthcare experience.)" We'll include in Pay section.
- Role description paragraph: "The Manager of the CMS Merit Incentive Program leads provider enablement for Medicare Advantage and Individual business lines, focusing on improving clinical and financial outcomes through value-based arrangements. This role requires expertise in Medicare Advantage, CMS Stars Program, and strong business acumen to drive competitive performance and manage teams effectively."
- Then the three bullet-like paragraphs (Lead provider enablement and performance..., Strategic and operational expertise..., Program management and collaboration...). These could be part of About the role or Responsibilities. Since we have a Responsibilities section later with detailed list, we could keep these as part of About the role (they are more high-level). We'll include them in About the role as paragraphs.
- Then "This position reports to the VP, Payer and Strategy Relations." Could be part of About the role.
Now Responsibilities: after "Key Responsibilities" we have a long list of sentences each starting with a verb. We'll turn each into
- .
Let's list them:
1. Serve as the centralized lead for all MIPS quality reporting activities across the organization.
2. Oversee ongoing MIPS workflow review, compliance monitoring, reporting validation, and due diligence related to measuring performance and documentation integrity.
3. Conduct routine audits of provider and staff workflows to identify gaps impacting MIPS capture, reporting accuracy, and outcomes.
4. Monitor and analyze MIPS performance trends, identify at-risk measures, and coordinate remediation plans with operations leadership, providers, IT, and clinical teams.
5. Review and validate MIPS reporting outputs, documentation workflows, utilization, and measure logic to ensure reporting accuracy and consistency across divisions.
6. Manage and coordinate all MIPS-related training initiatives for providers, office managers, campus trainers, clinical staff, virtual scribes, and operational leadership.
7. Facilitate structured MIPS education sessions covering:
- Measure documentation workflows in Nextech
- Reporting and dashboard review
- Workflow remediation and optimization
- Regulatory updates and reporting requirements
8. Act as the primary liaison between operations, Anatomy IT, Nextech, Verana/IRIS Registry, compliance teams, and organizational leadership for all MIPS-related initiatives and issue resolution.
9. Participate in recurring executive, divisional, and vendor meetings regarding MIPS reporting, system functionality, regulatory updates, ticket management, and workflow optimization.
10. Lead projects, retrospective chart reviews, documentation remediation efforts, and year-end performance optimization initiatives.
11. Support integrations, acquisitions, EHR transitions, and operational rollouts to ensure continuity of MIPS reporting workflows and regulatory compliance.
12. Develop and maintain standardized MIPS workflows, documentation guides, quick-reference materials, and operational policies.
13. Monitor CMS specification changes, registry updates, and vendor communications to proactively adjust workflows and reporting strategies as needed.
14. Ensure organizational readiness for MIPS submission periods, audits, reporting deadlines, and compliance reviews.
15. Serve as an internal subject matter expert for MIPS-related operational, regulatory, and workflow questions across all divisions.
16. Maintain strong cross-functional collaboration with operations, compliance, IT, revenue cycle, providers, virtual scribe teams, and external vendors to support ongoing reporting success and scalability.
Note that item 7 includes a sublist. We need to represent that as nested
- maybe. The instruction: Use
- for any list of duties/requirements/benefits. So we can have a
for the main responsibilities, and within item 7 we can have a nested for the subpoints.
We must preserve all substantive information, so include the subpoints.
Now Qualifications: after "Qualifications" we have:
- BA/BS degree in Business, Health Care Administration and/or social sciences or clinically related.
- 10 years of experience working with physicians or health plans or equivalent combination of education and experience.
We'll put each as - .
Now Pay section: we need to include compensation range. Could be a
with the range. Also maybe include the note about commensurate. We'll include the full sentence.
Now About the role section: combine the paragraphs.
Let's craft HTML:
About the role
This exempt role can is a HYBRID role with travel to New Providece, NJ.
The Manager of the CMS Merit Incentive Program leads provider enablement for Medicare Advantage and Individual business lines, focusing on improving clinical and financial outcomes through value-based arrangements. This role requires expertise in Medicare Advantage, CMS Stars Program, and strong business acumen to drive competitive performance and manage teams effectively.
Lead provider enablement and performance: Responsible for implementing provider enablement strategies to enhance Medicare Advantage Star Ratings and risk adjustment results by engaging providers and improving clinical and financial performance.
Strategic and operational expertise: Requires strategic provider engagement skills, operational oversight of incentive payment processes, and leadership experience within healthcare or payer health plan environments.
Program management and collaboration: Oversees Medicare Quality Improvement Programs, collaborates on value-based arrangements, drives provider engagement in clinical programs, and ensures compliance with CMS expectations while managing cross-functional teams to deliver results.
This position reports to the VP, Payer and Strategy Relations.
Then Pay:
Pay
Compensation Range: $90,000 to $125,000/Annually (Commensurate with experience, qualifications, and demonstrated CMS Merit Incentive Program and healthcare experience.)
Then Responsibilities:
Responsibilities
- Serve as the centralized lead for all MIPS quality reporting activities across the organization.
- Oversee ongoing MIPS workflow review, compliance monitoring, reporting validation, and due diligence related to measuring performance and documentation integrity.
- Conduct routine audits of provider and staff workflows to identify gaps impacting MIPS capture,
for prose. We must not repeat job title as heading. No Job ID. We must preserve all substantive information. Ensure we include location/hybrid/travel info, compensation range, role description, responsibilities list, qualifications list. Let's extract details. About the role prose: - "This exempt role can is a HYBRID role with travel to New Providece, NJ." (maybe fix grammar? We must preserve info, not invent or summarize away detail. Should we keep the exact text? It says "can is" which is likely a typo. We should preserve as given? The instruction: preserve ALL substantive information; do NOT invent or summarize away detail. It doesn't say we must correct typos. Probably we should keep the text as is, but maybe we can keep it as is. However it's awkward. Might be better to keep exactly: "This exempt role can is a HYBRID role with travel to New Providece, NJ." We'll keep. - Compensation range: "Compensation Range: $90,000 to $125,000/Annually (Commensurate with experience, qualifications, and demonstrated CMS Merit Incentive Program and healthcare experience.)" We'll include in Pay section. - Role description paragraph: "The Manager of the CMS Merit Incentive Program leads provider enablement for Medicare Advantage and Individual business lines, focusing on improving clinical and financial outcomes through value-based arrangements. This role requires expertise in Medicare Advantage, CMS Stars Program, and strong business acumen to drive competitive performance and manage teams effectively." - Then the three bullet-like paragraphs (Lead provider enablement and performance..., Strategic and operational expertise..., Program management and collaboration...). These could be part of About the role or Responsibilities. Since we have a Responsibilities section later with detailed list, we could keep these as part of About the role (they are more high-level). We'll include them in About the role as paragraphs. - Then "This position reports to the VP, Payer and Strategy Relations." Could be part of About the role. Now Responsibilities: after "Key Responsibilities" we have a long list of sentences each starting with a verb. We'll turn each into
- maybe. The instruction: Use
- for any list of duties/requirements/benefits. So we can have a
- for the main responsibilities, and within item 7 we can have a nested
- .
Now Pay section: we need to include compensation range. Could be a
with the range. Also maybe include the note about commensurate. We'll include the full sentence. Now About the role section: combine the paragraphs. Let's craft HTML:
About the role
This exempt role can is a HYBRID role with travel to New Providece, NJ.
The Manager of the CMS Merit Incentive Program leads provider enablement for Medicare Advantage and Individual business lines, focusing on improving clinical and financial outcomes through value-based arrangements. This role requires expertise in Medicare Advantage, CMS Stars Program, and strong business acumen to drive competitive performance and manage teams effectively.
Lead provider enablement and performance: Responsible for implementing provider enablement strategies to enhance Medicare Advantage Star Ratings and risk adjustment results by engaging providers and improving clinical and financial performance.
Strategic and operational expertise: Requires strategic provider engagement skills, operational oversight of incentive payment processes, and leadership experience within healthcare or payer health plan environments.
Program management and collaboration: Oversees Medicare Quality Improvement Programs, collaborates on value-based arrangements, drives provider engagement in clinical programs, and ensures compliance with CMS expectations while managing cross-functional teams to deliver results.
This position reports to the VP, Payer and Strategy Relations.
Then Pay:Pay
Compensation Range: $90,000 to $125,000/Annually (Commensurate with experience, qualifications, and demonstrated CMS Merit Incentive Program and healthcare experience.)
Then Responsibilities:Responsibilities
- Serve as the centralized lead for all MIPS quality reporting activities across the organization.
- Oversee ongoing MIPS workflow review, compliance monitoring, reporting validation, and due diligence related to measuring performance and documentation integrity.
- Conduct routine audits of provider and staff workflows to identify gaps impacting MIPS capture,
- for the subpoints.
We must preserve all substantive information, so include the subpoints.
Now Qualifications: after "Qualifications" we have:
- BA/BS degree in Business, Health Care Administration and/or social sciences or clinically related.
- 10 years of experience working with physicians or health plans or equivalent combination of education and experience.
We'll put each as
- .
Now Pay section: we need to include compensation range. Could be a
- for any list of duties/requirements/benefits. So we can have a