About the Role

Middletown Medical Group is a physician-owned multi-specialty group of approximately 125140 providers across five locations in Orange County, New York, with a 400-person captive operations center in Delhi supporting billing, revenue cycle, and clinical documentation.

We are hiring a Manager to own end-to-end clinical quality outreach and MIPS performance. This is an execution role, not a reporting role. The person in this seat will build and run patient outreach campaigns that close care gaps at scale, and will own the full loop identify the gap, contact the patient, get the service scheduled and completed, and get the result captured as structured data in eClinicalWorks so the measure actually credits.

MMG has a structural advantage that makes this work unusually high-yield: we own our own mammography equipment, our own colonoscopy suite, and we employ our own certified diabetes educator. Gap closure therefore stays inside our four walls. Results flow through our own systems rather than arriving as scanned faxes from outside facilities, and every closed gap generates ancillary revenue in addition to protecting our Medicare Part B payment adjustment.

The constraint on this program is not access to services it is disciplined outreach, tight follow-through, and clean data capture. That is what this role delivers.

Key Responsibilities

Care Gap Identification and Campaign Ownership

- Build and maintain live care gap registries out of eClinicalWorks for the group's priority measures, refreshed on a defined cadence and segmented by provider, site, payer, and gap age.
- Design, launch, and own multi-channel outreach campaigns — patient portal message, SMS, email, and letter — including message copy, send cadence, escalation ladder for non-responders, and channel-level response tracking.
- Own campaign performance metrics: contact rate, response rate, conversion to scheduled appointment, show rate, and completed-service rate. Report and improve each one.
- Maintain outreach suppression and consent logic: honor opt-outs, deceased and inactive patients, patients under active specialist care elsewhere, and documented refusals.
- Continuously test message content, timing, and channel to lift conversion.

Measure-Specific Campaign Execution Breast Cancer Screening (Quality #112 / CMS125)

- Identify women in the eligible age range without a qualifying mammogram in the required lookback window.
- Drive outreach directly into MMG's own imaging schedule with a one-click scheduling path.
- Confirm each completed study is captured as a structured, measure-creditable result — not only as a narrative report in the chart.

Colorectal Cancer Screening (Quality #113 / CMS130)

- Segment the eligible population and steer patients preferentially to MMG's own colonoscopy suite, which satisfies the measure on a ten-year lookback.
- Reserve stool-based testing for patients who decline colonoscopy; for those patients, run a kit-return chase cadence, because a kit mailed is not a kit returned.
- Track every positive stool-based result through to a completed diagnostic colonoscopy, and escalate any that stalls.

Diabetes — HbA1c Poor Control (Quality #001 / CMS122)

- Recognize that this is an inverse measure and that a diabetic patient with no HbA1c result on file counts against us. Run the “no result in the measurement period” list as a distinct, high-priority outreach campaign — it is the largest and cheapest source of improvement.
- Route confirmed HbA1c results above threshold to MMG's certified diabetes educator with a structured handoff, and track educator contact, follow-up interval, and repeat A1c.
- Maintain a closed-loop worklist so no patient falls between outreach, testing, education, and retest.

Controlling High Blood Pressure (Quality #236 / CMS165)





- Identify hypertensive patients with no documented BP in the measurement period, and those with a most-recent reading at or above threshold.
- Support the group's home blood pressure monitoring program: coordinate device distribution, patient onboarding, and reading capture into eClinicalWorks.
- Ensure only readings from acceptable digital monitoring devices are used, per measure specification, and that they are documented so the measure credits.

Result Capture and Loop Closure in eClinicalWorks

- Own the integrity of the last mile: verify that every completed service lands in eClinicalWorks as discrete, reportable data in the correct field.
- Reconcile completed services against measure numerators and investigate every case where a service was performed but the measure did not credit.
- Partner with the eCW administration team on templates, order sets, structured result mapping, and interfaces so capture happens automatically rather than by manual cleanup.
- Maintain the manual capture process for any result that does not flow natively, with defined turnaround and accuracy standards.

Standing Orders and Clinical Governance Liaison

- Work with US clinical leadership to establish, document, and maintain physician-approved standing order protocols that allow the outreach team to initiate screening orders within defined parameters.
- Ensure all outreach and ordering activity operates strictly within those protocols and within HIPAA and applicable patient communication consent requirements.
- Escalate anything outside protocol to the assigned US clinical champion rather than acting independently.

Capacity Pacing and Scheduling Coordination

- Pace outreach volume against available appointment capacity in imaging, endoscopy, lab, and primary care. Generating demand we cannot book loses the patient and the measure.
- Coordinate with US scheduling leadership on slot availability, block release, and seasonal capacity planning.
- Monitor no-show and cancellation rates on outreach-generated appointments and build recall workflows to recover them.

Team Supervision

- Recruit, train, and manage the quality outreach team in Delhi; set daily productivity and accuracy standards and conduct performance reviews.
- Build SOPs, call and message scripts, quality audit checklists, and calibration processes.
- Allocate workload across measures, sites, and campaigns based on gap volume and closure yield.

MIPS Program Administration and Reporting

- Own the MIPS reporting calendar across Quality, Cost, Promoting Interoperability, and Improvement Activities, and maintain a continuously updated projected final score against the CMS performance threshold.
- Maintain audit-ready documentation for all attested Improvement Activities and Promoting Interoperability measures, including Security Risk Analysis evidence.
- Prepare, validate, and complete annual submission ahead of CMS deadlines.
- Deliver a weekly dashboard to US leadership covering gap inventory, campaign conversion, completed services, measure performance, and projected score; present monthly to the quality committee.
- Quantify results in both dimensions: Medicare Part B payment adjustment exposure avoided, and ancillary service revenue generated by closed gaps.

Required Qualifications

- Bachelor's degree; clinical background (B.Sc. Nursing, BDS, BAMS, BHMS, BPT, or Life Sciences) strongly preferred.




- 7–12 years in US healthcare quality, population health, or care management, including hands-on ownership of patient outreach or care gap closure campaigns. Candidates whose experience is limited to producing reports will not be considered.
- Direct working knowledge of MIPS/MACRA and CMS clinical quality measure specifications, and the ability to read and apply a measure specification independently.
- Production-level eClinicalWorks experience: registry and gap reporting, structured result entry, templates, order sets, patient portal and messaging tools.
- Demonstrated results in a comparable program — able to describe specific measures moved, with before and after performance rates and the volume of gaps closed.
- Working knowledge of CPT, CPT Category II, HCPCS/G-codes, and ICD-10 as they drive measure capture.
- Advanced Excel; SQL or Power BI strongly preferred.
- Minimum 3 years managing a team, including hiring, training, and performance management.
- Excellent spoken and written English — this role presents directly to US physicians and executives and writes patient-facing communication.
- Willing and able to work the US Eastern night shift on a sustained basis.

Preferred Qualifications

- Experience in a multi-specialty group practice or ACO environment rather than payer-side only.
- Experience with patient outreach platforms, automated messaging, or campaign tooling.
- Experience with remote patient monitoring or home device programs.
- Familiarity with standing order protocols and clinical workflow governance.
- Familiarity with MIPS Value Pathways (MVPs).
- Certification such as CPHQ, CCM, CPC, or Six Sigma Green Belt.

Success Measures — First 12 Months

Timeframe

Expectation

90 days

Complete gap inventory across all four priority measures, sized and segmented by provider and site; first outreach campaign live with measured conversion; standing order protocols drafted and submitted for physician approval.

180 days

All four campaigns running on a steady cadence; result capture loop verified end to end for each measure; team hired and trained to standard; weekly dashboard established.

12 months

Material, documented improvement in each of the four priority measure rates; group projected final score comfortably above the CMS performance threshold; audit-ready attestation documentation complete; measurable ancillary volume attributable to outreach; reduction in external MIPS program spend.

Compensation and Benefits

- Annual CTC: 15,00,000 – 22,00,000, based on experience and demonstrated outreach and eCW depth. Exceptional candidates with directly comparable group-practice experience will be considered above this band.
- Night shift allowance as per company policy.
- Annual performance bonus up to 20% of CTC, tied to gap closure volume, campaign conversion rate, and improvement in group MIPS final score.
- Provident fund, gratuity, and group medical insurance as per company policy.
- Direct employment with MMG's India entity — not a vendor or contract placement.
- Direct working relationship with US physician leadership, ownership of a program with visible financial impact, and a explicit growth path as the quality function expands.

How to Apply Submit your resume along with the following:

1. A specific example of a care gap or quality measure you personally took from failing to passing — the population size, what outreach you ran, the conversion you achieved, and the before/after measure rate.
2. Your specific eClinicalWorks experience: which modules and reports you have worked in, and in what capacity.
3. The size of the team you have managed and for how long.
4. Current and expected CTC, and notice period.

Applications without specific outreach results and eCW detail will not be reviewed.

📌 Manager - Clinical Quality Outreach & MIPS Performance (New Delhi)
🏢 Verita Software
📍 New Delhi