Program Manager, Medicare

Posted Yesterday
Easy Apply
Be an Early Applicant
Denver, CO
Mid level
Artificial Intelligence • Healthtech • Machine Learning • Social Impact • Analytics • Telehealth • Generative AI
Strive is changing kidney care to identify patients earlier and prioritizing the right care at the right time.
The Role
The Program Manager oversees processes and governance of the CKCC program at Strive Health, ensuring compliance with CMS requirements. They will collaborate across teams, drive execution of initiatives, maintain documentation, and represent the company at CMS events. Responsibilities include educating leadership, implementing best practices, and supporting governance activities.
Summary Generated by Built In

What We Strive For 

At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. Recognized with ten prestigious workplace awards, including LinkedIn’s 2024 Top Startups in Denver, we’re setting a new standard in kidney care. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference.

What You’ll Do 

The Program Manager will oversee programmatic processes, requirements, and governance of Strive’s Comprehensive Kidney Care Contracting (CKCC) program, a CMS government model. This individual will drive the execution of key initiatives to support markets’ success in the program and ensure key CMS deadlines are met. Requires close collaboration and strong connections across various Strive Health teams and executives, as well as direct coordination with CMS. This leader will demonstrate strong program management, data analysis, project design, effective communication and subject matter expert skills. In addition, the program manager will represent and communicate program updates and performance results at Strive Health in multiple forums, internal and external.

The Day to Day 

  • Become an expert on the CKCC shared savings model and an internal resource for executive leaders, market operators, finance leaders, and other cross-functional teams across Strive Health. For example, this role will develop a deep understanding of program quality measures, patient attribution processes, and financial payment structures.  
  • Monitor critical CMS requirements and timelines to ensure deliverables are completed accurately and on time. This role will also identify and implement best practices for completing these program deliverables across markets. 
  • Educate and work collaboratively with executive leadership, market operations teams, and clinical leaders to build understanding of the model and drive improvements internally and with Strive’s physician partners. This role will also share program learnings and insights to inform Strive’s policy and advocacy work. 
  • Represent Strive Health at CMS webinars, office hours, and other events to gather critical information about program updates and communicate directly with CMS staff. 
  • Collaborate with Strive’s Compliance and Operations teams to ensure adherence to all program policies and procedures. 
  • Review and interpret complex program model documents and communications to guide important operations, finance, legal, and analytics-related activities.  
  • Maintain critical documentation for program participation and own the ongoing submission process to CMS.  
  • Spearhead the strategy and implementation of new program features and available benefits by developing tactical plans, cross-functional relationships, internal alignment, and education.  
  • Support the governance of each market’s Board, including the development of meeting content and coordination of Board approvals. 

Minimum Qualifications 

  • Bachelor's degree in healthcare, Science or related degree.
  • 4+ years related work experience required within a healthcare setting, preferably related to value-based care, a Medicare/Medicaid related program, or other alternative payment model.

Preferred Qualifications  

  • Demonstrated experience with managing or supporting programs related to one of CMS’ accountable care models (e.g. Medicare Shared Savings Program, ACO Reach, Kidney Care Choices). 
  • Understanding of the elements of value-based care models and how organizations participate in these models to drive better outcomes for patients. 
  • Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications.

Annual Base Salary Range: $86,000 - $104,000

We care and support our strivers holistically by providing competitive compensation and a comprehensive benefits package, including: 

  • Medical, dental, and vision insurance 
  • Two employee assistance programs (EAP) 
  • 401k with employer match 
  • Employer paid and voluntary life and disability insurance 
  • Health and flexible spending account 
  • Paid holidays, flexible vacation time, sick time, volunteer time, and sabbaticals 
  • Eight weeks of paid living donor leave 
  • A well-being bundle with Carrot Fertility and Peloton at no cost 
  • Annual professional development stipend 
  • Mental health and financial wellness resources 

Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all the qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected] 

What the Team is Saying

Shelby
Jane
Sam
Nick
Matt
Leona
The Company
HQ: Denver, CO
700 Employees
Hybrid Workplace
Year Founded: 2018

What We Do

Strive Health is built for purpose — to transform a broken kidney care system. We are fundamentally changing the lives of people with kidney disease through early identification, engagement and comprehensive coordinated care. Strive’s model is driven by a high-touch care team that integrates with local providers and spans the entire care journey from chronic kidney disease through end-stage kidney disease, leveraging comparative and predictive data and analytics to identify at-risk patients. Strive Health’s interventions significantly reduce the rate of emergent dialysis crash, cut inpatient utilization and significantly improve patient outcomes and experience. Come join our journey as we create THE destination for top talent in the healthcare community and set a new standard for how kidney care should be done.

Why Work With Us

“At Strive, we’re transforming kidney care. While our mission, vision, and values-based culture play critical roles in that transformation, our people (Strivers) make it happen. Strivers are delivering compassionate kidney care and creating an incredible place to work.” Chris Riopelle (CEO)

Gallery

Gallery
Gallery
Gallery
Gallery
Gallery
Gallery
Gallery
Gallery
Gallery
Gallery

Strive Health Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Strive Health's work locations are based on organizational and patient needs. The majority of positions are hybrid-remote in the Denver area with the option to go into the office.

Typical time on-site: Flexible
Company Office Image
HQDenver, CO
Our office is in the heart of downtown Denver. We are a few blocks from the 16th Street Mall, which has lots of bars, restaurants and shops!

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account