Job Description
Job Title: MIPS Compliance and Provider Development Specialist (Full-Time or Part-Time) Location: MUST be in Chicago, IL to be CONSIDERED AN INTERVIEW Chicago, Illinois (Hybrid – On-site visits and remote work) Position Summary: The MIPS Compliance and Provider Development Specialist will support physicians and specialists within an Independent Physician Association (IPA) in achieving and maintaining compliance with the Merit-based Incentive Payment System (MIPS) and other CMS quality programs. This role combines regulatory compliance expertise with provider development, onboarding, and ongoing performance/support management to ensure the IPA’s network of providers meets quality standards, maximizes reimbursements, and sustains long-term success. This is a full-time position offering a dynamic opportunity to contribute to both the operational and strategic growth of the IPA. Key Responsibilities: • MIPS Compliance and Quality Reporting • Guide IPA member providers and practice staff through MIPS program requirements, updates, and performance categories. • Conduct workflow assessments to identify compliance gaps and implement corrective actions. • Provide support and guidance to office managers regarding MIPS data collection, validation, and submission processes for all participating providers. • Track and analyze provider performance metrics, generating detailed reports for IPA leadership. • Deliver training sessions, webinars, and educational materials on MIPS, MACRA, and CMS quality initiatives. • Collaborate with office managers to help them with EHR, billing teams, and administrative staff to optimize reporting accuracy and efficiency. • Maintain awareness of CMS policy changes and communicate relevant updates to IPA members. Provider Development and Maintenance • Support the onboarding of new IPA providers, ensuring they understand compliance expectations, reporting timelines, and quality benchmarks. • Maintain provider profiles, credentialing documentation, and performance records to ensure continuous compliance of readiness. • Develop individualized provider improvement plans to enhance MIPS scores and patient care outcomes. • Serve as a liaison between providers and IPA leadership to align compliance and quality goals with organizational growth strategies. • Monitor provider performance trends, identify opportunities for improvement, and implement ongoing support initiatives. • Contribute to provider retention and satisfaction through education, communication, and performance support programs. Qualifications: • Bachelor's degree in healthcare administration, Public Health, Health Information Management, or related field (master's preferred). • Minimum of 3 years of experience with MIPS, MACRA, or other CMS quality reporting programs. • Previous experience supporting an Independent Physician Association (IPA) or multi-specialty provider network is strongly preferred. • Strong understanding of EHR systems, clinical quality measures, and healthcare compliance standards. • Excellent communication, analytical, and organizational skills. • Ability to manage multiple providers, projects, and deadlines in a fast-paced environment. Schedule and Compensation: • Full-Time: 40 hours per week (hybrid schedule available). • Compensation: Competitive salary commensurate with experience, plus This full-time position offers a strategic opportunity to enhance the performance, compliance, and growth of an Independent Physician Association while directly supporting providers in delivering high-quality, value-based care. Original job HEDIS Analyst/MIPS posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs. Apply tot his job