Join Our Team as a Quality Reporting Manager - Remote Opportunity!The Quality Reporting Manager at Luna is responsible for managing and optimizing the organization's quality reporting processes, with a particular focus on MIPS reporting, Value-Based Care analytics, and data integration with healthcare partners and payers. This role ensures compliance with quality reporting obligations, improves patient outcomes, and aligns with regulatory and value-based care initiatives that support Luna’s strategic goals.The position works with multiple stakeholders to achieve shared goals and provides education to ensure compliance with federal quality reporting standards and maximize MIPS performance for higher reimbursement rates. The ideal candidate has 5+ years of relevant experience with CMS, MIPS, Value-Based Care, and payer/partner integrations, demonstrating a track record of data-driven reporting and improvement.
How you will have an impact:
- MIPS Reporting:
- Manage all aspects of the Merit-based Incentive Payment System (MIPS) reporting process.
- Ensure timely submission and compliance with CMS guidelines.
- Collaborate with clinical teams to track, analyze, and improve MIPS performance metrics.
- Interpret MIPS scorecards and provide actionable insights to drive continuous quality improvement. Value-Based Care Analytics:
- Develop and implement analytics to support value-based care initiatives.
- Use data-driven insights to identify trends, risk stratification opportunities, and performance improvements in patient care.
- Collaborate with leadership to integrate analytics into care models aimed at reducing costs and improving quality. Partner Clinical Data Integration Management:
- Lead efforts to integrate data from various payer systems and healthcare partners.
- Ensure smooth and accurate data exchange, enabling enhanced quality reporting and care management.
- Collaborate with technical teams to ensure data accuracy, consistency, and accessibility.
- Liaise with payers, vendors, and partners to resolve data discrepancies and implement integration improvements. Quality Reporting:
- Develop and manage the quality reporting framework, ensuring that Luna’s reporting aligns with the latest healthcare standards.
- Monitor performance metrics across the organization and ensure reporting is accurate, complete, and submitted on time.
- Collaborate with clinical and administrative teams to identify and address gaps in quality reporting and recommend improvements.
- Stay up-to-date with regulatory changes and update reporting processes as necessary
What you can offer Luna:
- Bachelor’s degree in Healthcare Administration, Public Health, Data Analytics, or related field. Master’s degree preferred.
- 5+ years of experience in healthcare quality reporting, MIPS management, or value-based care; must include working knowledge of CMS and Value-Based Care programs
- Proven experience with payer and partner data integration
- Strong analytical skills and familiarity with data-driven reporting
- Proficiency with data management tools, Excel, and healthcare analytics platforms
- Experience with electronic health record (EHR) systems, data integration technologies, and healthcare interoperability standards
- Excellent communication and collaboration skills
- Detail-oriented with a strong commitment to compliance and quality improvement
What Luna can offer you:
- Opportunity to grow with a start-up that is revolutionizing the delivery of physical therapy
- Supportive leadership with lots of opportunity for those who wish to grow alongside of Luna
- Full time remote position
- Paid Time Off with holiday
- Stock options
- Medical, dental & vision on the first of the month following start date
- Company-paid life insurance, and much more!
Care Exceptionally * Incredibly Relentless * Be Impactful * 1% Better, Every Day
~ Forbes America's Best Startup Employers of 2024 #111 ~~ Fast Company World's Most Innovative Companies of 2024 #13 in Healthcare ~~ Exceptional Performance Designation from Medicare/CMS MIPS 2022, 2023 ~~ Gold Indigo Design Award for mobile app design excellence 2020 ~
United States
