Coord-Regulatory Qual Programs

Lexington Medical Center • West Columbia, SC

3d

About The Position

Responsible for the ongoing development, implementation, and coordination of physician network regulatory quality programs and initiatives, including Meaningful Use (MU), Physician Quality Reporting System (PQRS) GPRO, Value Based Purchasing, regulatory quality program audits, and other regulatory quality programs. The role requires knowledge of healthcare operations, electronic health records (EHR), quality initiatives, and HITECH programs and regulations.

The Coordinator collaborates with physician network leadership, management, internal customers, and external vendors to support successful implementation and completion of projects. The position oversees timelines, program and project management, compliance, reporting, and resources, and serves as the physician network subject matter expert for regulatory quality programs. The Coordinator keeps leadership and stakeholders informed of regulatory changes and uses leadership, communication, project management, and change management skills to guide teams, providers, practice leaders, and organizational leadership.

Requirements

• Associate's degree and at least 6 years of experience.
• At least 3 years of related experience working directly with EHR systems.
• Demonstrated experience with progressive project management and change management.
• No certification or licensure is required.
• An Associate's degree with 6 years of experience may be substituted by one of the following: certification in a clinical practice area, such as Certified Meaningful Use Professional and/or Certified PQRS Professional, plus 6 years of experience; a Bachelor of Science in Nursing or another related clinical field plus 4 years of experience in a healthcare environment; or a master's degree in a clinical or related field plus 2 years of experience in a healthcare environment.

Responsibilities

• Coordinate and deliver physician network regulatory quality programs and initiatives, including Meaningful Use, PQRS GPRO, Value Based Purchasing, regulatory audits, and other programs.
• Prepare activity, performance, and progress reports and budget recommendations for assigned areas.
• Maintain current reports and dashboard data for physician network leadership, physicians, and practice stakeholders.
• Lead vendor issue management and escalations related to regulatory quality programs and initiatives.
• Escalate and collaborate with the Director of Population Health and Clinical Integration on issues and risks and identify solutions.
• Coordinate communications and project status updates for assigned areas.
• Collaborate with the physician network Director of Training Systems, Education and Development to implement training programs aligned with workflows, organizational culture, and regulatory quality initiatives.
• Oversee ongoing development and updating of policies and procedures for assigned areas.
• Participate in, facilitate, or lead projects to plan, implement, or optimize clinical systems that support regulatory quality compliance.
• Develop efficient processes for regulatory program audits, including audits of Meaningful Use of Electronic Health Records and PQRS GPRO.
• Prepare for regulatory audits by conducting internal mock audits.
• Respond to regulatory audit requests within specified timeframes and communicate with regulatory agencies during the audit process.
• Communicate regulatory audit findings and improvement opportunities to LMC physician network leaders and stakeholders.
• Work with organizational stakeholders to triage issues and continually evaluate ways to improve regulatory quality programs and initiatives.
• Demonstrate leadership, collaboration, critical thinking, and teamwork when making decisions and resolving issues.
• Collaborate with multidisciplinary clinical, administrative, and finance teams.
• Serve as a champion and change manager for assigned areas of responsibility.
• Serve as the subject matter expert for regulatory quality initiatives within assigned areas.
• Maintain working knowledge of applicable federal regulations and standards to ensure compliance.
• Perform other assigned duties.

Benefits

• Medical, dental, and life insurance benefits beginning on day one
• Health care and dependent care flexible spending accounts (FSAs)
• 403(b) match plan enrollment beginning on day one, with dollar-for-dollar matching up to 6%
• Employer-paid life insurance equal to one times salary
• Optional supplemental life insurance with low-cost premiums, up to three times salary
• Adoption assistance
• Employer-paid short-term and long-term disability coverage for full-time employees after 90 days of eligible employment
• Tuition reimbursement
• Student loan forgiveness

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree