Approved remote hiring states: Indiana, Michigan, Illinois, Kansas, Ohio, Georgia, Kentucky ... MIPS, BCBS) for acute care. * Coordinate submission requirements (e.g., electronic reporting of ...
Approved remote hiring states: Indiana, Michigan, Illinois, Kansas, Ohio, Georgia, Kentucky ... MIPS, BCBS) for acute care. * Coordinate submission requirements (e.g., electronic reporting of ...
Senior Regulatory Analyst - Remote
Granger, IN · On-site +1
Approved remote hiring states: Indiana, Michigan, Illinois, Kansas, Ohio, Georgia, Kentucky ... MIPS, BCBS) for acute care. * Coordinate submission requirements (e.g., electronic reporting of ...
Senior Regulatory Analyst - Remote
Granger, IN · On-site +1
Approved remote hiring states: Indiana, Michigan, Illinois, Kansas, Ohio, Georgia, Kentucky ... MIPS, BCBS) for acute care. * Coordinate submission requirements (e.g., electronic reporting of ...
Remote Mips information
What are Remote MIPS jobs?
What is the difference between Remote Mips vs Remote Medical Insurance Processor?
| Aspect | Remote Mips | Remote Medical Insurance Processor |
|---|---|---|
| Required Credentials | Medical coding certification, knowledge of MIPS reporting | Insurance processing certification, familiarity with medical billing |
| Work Environment | Home-based, healthcare or insurance companies | Home-based, insurance companies or healthcare providers |
| Employer & Industry | Healthcare, government agencies, insurance firms | Insurance companies, healthcare providers |
| Common Search Intent | Remote Mips vs Remote Medical Insurance Processor |
Remote Mips and Remote Medical Insurance Processors both involve healthcare-related tasks performed remotely. While MIPS focuses on healthcare quality reporting and requires specific medical coding certifications, Medical Insurance Processors handle insurance claims and billing. Both roles are home-based and serve the healthcare and insurance industries, but they differ in their core responsibilities and required credentials.
What are the key skills and qualifications needed to thrive as a Remote MIPS (Merit-based Incentive Payment System) Specialist, and why are they important?
What are some common challenges faced by professionals working in Remote MIPS (Medical Insurance Processing Services) roles, and how can they be managed?

Full-time
Posted 6 days ago
Beacon Health System rating
6.6
Based on 137 frontline employees who took The Breakroom Quiz
593rd of 869 rated healthcare providers
Job description
Perform analysis, design and project management for small projects to deliver maintainable, efficient programs, general consulting and serve as a liaison with all Beacon Health System end-user departments as required. Leads CMS regulations and reporting requirements analysis and research. Leads support existing computer applications/systems, which include troubleshooting, conducting quality assurance and maintaining computer system security. Ability to handle the most complex issues.
Approved remote hiring states:
Indiana, Michigan, Illinois, Kansas, Ohio, Georgia, Kentucky, Florida, Idaho, Minnesota, Tennessee, Wisconsin, Colorado, South Carolina, North Carolina, Texas
MISSION, VALUES and SERVICE GOALS
- MISSION: We deliver outstanding care, inspire health, and connect with heart.
- VALUES: Trust. Respect. Integrity. Compassion.
- SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
Job Responsibility
- Support quality and regulatory inflight activities, with emphasis on CMS electronic clinical quality measures (eCQMs, MIPS, BCBS) for acute care.
- Coordinate submission requirements (e.g., electronic reporting of required measures) and track timelines (measures are typically reported a year ahead).
- Partner with quality representatives, operational leaders, and clinician leaders to interpret requirements from CMS, Joint Commission, Leapfrog, and related programs.
- Identify and engage with clinical and nursing workgroups to validate workflows, chartable items, and measure logic.
- Translate clinical orders and documentation to the CMS glossary (via Beacon/clinical groups as needed).
- Document and maintain workflows, references, and implementation guidance in Oracle wikis and knowledge bases.
- Research CMS and regulatory resources; curate reference materials for stakeholders.
- Facilitate recurring meetings (weekly/bi-weekly) to drive measure readiness, issue resolution, and stakeholder alignment.
- Support hybrid measure enablement (e.g., new PowerForms via Oracle packages or workflow processes).
- Monitor implementations across hospitals to identify best practices and emerging issues.
- User Oracle OAID, DA2 and CCL to provide analytics.
Responsible for the technical analysis and design needed to ensure functionality and efficiency:
- CMS acute care eCQM submissions, including ensuring required measures are prepared for electronic reporting.
- Using Bedrock (and related EHR tooling) as a filtering/validation process to support measure configuration and outputs.
- Cerner package management and awareness of environment progression (Build, CERT, Production) and quarterly parameter/content updates.
- Supporting scripting and package installation coordination with technical teams.
- Coordinating Oracle SR/workflow readiness to ensure execution of required regulatory processes.
- Maintaining visibility into regulatory center processes and related identifiers.
- Supporting data visualization needs when tied to regulatory/quality reporting.
- Primary point of coordination for locating regulatory resources, guidance, and source documentation from CMS and other governing bodies.
- All other duties as assigned.
Education and Experience
- The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a bachelor’s degree from an accredited college or university in Computer Science, IS, another appropriate field or equivalent experience. A minimum of three to five years of progressively more responsible experience in programming, and clinical/business acquiring knowledge of standard IT clinical/business practices for defined support areas. Preference will be given to candidates with training and experience with those software and hardware products regularly used by Beacon. Beacon programs Oracle Cerner, CCL, DA2, SVN, data extracts, specialist with Regulatory reporting.
Knowledge & Skills
- Proficient with Oracle Cerner, CCL, DA2, SVN, specialist with Regulatory reporting required.
- Demonstrates knowledge of moderately complex computer operations and strong familiarity with standard concepts, practices and procedures within a particular field.
Working Conditions
- Works in an office environment.
- Must be effective in a fast-paced, quality focused, multi-priority environment requiring the ability to prioritize workload to meet deadlines.
- May experience some mental/visual fatigue due to continued use of computer equipment.
Physical Demands
Requires physical ability and stamina (i.e., to sit, stand and/or walk for prolonged periods of time, lift, hold and carry objects weighing up to 30 pounds, etc.) to perform the essential functions of the position.
What Beacon Health System employees say
Pay
Benefits
Hours and flexibility
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About Beacon Health System
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
South Bend, IN, US
Year founded
2012