Program Manager, Medicare

The Program Manager, Medicare at Strive Health oversees the Comprehensive Kidney Care Contracting (CKCC) program, ensuring that programmatic processes are executed smoothly. This role involves collaborating with various internal teams and interacting directly with CMS to meet critical deadlines and program requirements.

Candidates for the Program Manager, Medicare role at Strive Health should hold a Bachelor's degree in healthcare or a related field and have at least 4 years of relevant experience in a healthcare setting, ideally in value-based care or Medicare programs. Experience with CMS models is an added advantage.

Strive Health uses a high-touch care model that combines predictive data analytics with local provider engagement. The goal is to identify at-risk patients early and provide comprehensive coordinated care, ultimately reducing emergency dialysis and hospitalizations.

The Program Manager, Medicare position at Strive Health is based in Washington, D.C. While some flexibility may be offered, the nature of the role, which requires collaboration with CMS and internal stakeholders, typically necessitates a strong onsite presence.

At Strive Health, we believe in the growth of our employees. The Program Manager, Medicare role offers numerous pathways for career advancement, including opportunities to take on larger responsibilities and leadership positions in our innovative healthcare initiatives.

Strive Health offers a competitive benefits package that includes medical, dental, and vision insurance, a robust 401k plan, paid time off, and resources for mental health and financial wellness. We prioritize the well-being of our employees to support their personal and professional growth.

Strive Health is committed to building a diverse workforce and promoting an inclusive environment. We celebrate our employees' unique backgrounds and experiences, ensuring that everyone has a voice and feels valued within our organization.

When answering, highlight any specific roles or projects where you directly managed or supported Medicare initiatives. Discuss your understanding of the CMS guidelines and how you've ensured compliance and successful outcomes in previous roles.

Prepare to describe the CKCC model in detail, discussing its components, like shared savings, patient attribution, and performance metrics. Emphasize your familiarity with these concepts and how they relate to value-based care.

Demonstrate your organizational skills by explaining your approach to prioritization. Discuss the tools you use for project management and how you balance short-term needs with long-term goals to ensure all deliverables meet their deadlines.

Use the STAR method (Situation, Task, Action, Result) to outline your experience. Focus on the specific challenges you faced, the strategies you implemented to overcome them, and the positive outcomes that resulted from your efforts.

Discuss your communication strategy tailored to different audiences, such as clinical teams, executives, or external partners. Emphasize the importance of clarity, adaptability, and fostering an open dialogue to ensure all stakeholders are informed and engaged.

Outline key performance indicators relevant to kidney care programs, like patient outcomes, utilization rates, and financial performance. Highlight how you track and use these metrics to drive continuous improvement.

Share your approach to developing educational materials and presentations that emphasize the value and benefits of the programs. Discuss how you tailor your messaging to resonate with leadership priorities and goals.

Detail your knowledge of CMS regulations and your systematic approach to compliance, including regular audits, training, and documentation practices that ensure adherence to all program requirements.

Explain your collaborative strategies, highlighting past experiences where you partnered with clinical staff to achieve common goals. Emphasize building relationships and fostering effective communication lines to ensure a unified approach to patient care.

Discuss how data analysis informs your decision-making process. Share examples where you used data to identify trends, make recommendations, or drive improvements in program performance or patient outcomes.