CMS Merit & MIPS Program Lead (Hybrid)

US Oncology Inc.; New Providence (NJ); Hybrid; USD 90,000 - 125,000; Full time

Job summary

US Oncology Inc. in New Providence, NJ is seeking a Manager of the CMS Merit Incentive Program for a hybrid role with travel. You will lead provider enablement for Medicare Advantage and Individual lines, driving value-based outcomes through incentive programs.

Responsibilities include leading MIPS quality reporting, audits of workflows, staff training, and cross-functional collaboration with operations, IT, and compliance, ultimately reporting to the VP of Payer and Strategy Relations.

Qualifications

• BA/BS in Business, Health Care Administration and/or social sciences or clinically related.
• 10 years of experience working with physicians or health plans or equivalent.

Responsibilities

• Serve as 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, reporting accuracy, and outcomes.
• Monitor and analyze MIPS performance trends, identify at-risk measures, and coordinate remediation plans with operations leadership, providers, IT, and clinical teams.
• Manage and coordinate all MIPS-related training initiatives for providers, office managers, campus trainers, clinical staff, virtual scribes, and operational leadership.
• Facilitate structured MIPS education sessions covering: Measure documentation workflows in Nextech, Reporting and dashboard review, Workflow remediation and optimization, Regulatory updates and reporting requirements.

Skills

MIPS reporting

CMS Stars program

Provider enablement

Cross-functional leadership

Healthcare analytics

Education

BA/BS in Business, Health Care Administration or related

Tools

Nextech

Verana/IRIS Registry

Job description

US Oncology Inc. in New Providence, NJ is seeking a Manager of the CMS Merit Incentive Program for a hybrid role with travel. You will lead provider enablement for Medicare Advantage and Individual lines, driving value-based outcomes through incentive programs.

Responsibilities include leading MIPS quality reporting, audits of workflows, staff training, and cross-functional collaboration with operations, IT, and compliance, ultimately reporting to the VP of Payer and Strategy Relations.