Manager - Quality & Regulatory Reporting

Baptist Health Care•Pensacola, FL

23h

About The Position

The Manager - Quality & Regulatory Reporting oversees the organization's quality reporting and regulatory compliance programs. The role ensures accurate and timely submission of quality data to CMS, state agencies, accreditation organizations, payers, and other third-party entities. The manager monitors healthcare regulations and policy changes, evaluates their impact on quality reporting requirements, and collaborates with clinical, operational, IT, interoperability, and population health teams to support compliance, performance improvement, and value-based care initiatives. The manager is responsible for department operational excellence and fiscal management, ensuring quality services are delivered in accordance with applicable policies, procedures, and professional standards and that organizational financial resources are properly utilized. The role manages team members, including orientation, development, evaluation, recruitment, and performance, and communicates departmental, organizational, and industry information to staff.

Requirements

5 years of experience in healthcare quality, regulatory reporting, accreditation, compliance, or performance improvement.
1 year of project management and leadership experience.
1 year of experience interpreting healthcare regulations and quality reporting requirements.
1 year of experience with CMS quality reporting programs and value-based reimbursement models.
Bachelor's degree in healthcare, business, public health, nursing, or a related field.

Nice To Haves

1 year of leadership experience in a healthcare quality or regulatory environment.

Responsibilities

Manage regulatory and quality reporting activities and submission deadlines, ensuring timely and accurate reporting.
Monitor healthcare policy, regulations, and quality reporting requirements, and communicate impacts and recommendations to leadership.
Serve as a subject matter expert on quality measures, public reporting programs, and value-based care initiatives.
Coordinate data validation, audit readiness, and reporting compliance processes.
Partner with IT and analytics teams to translate reporting requirements into operational and technical solutions.
Support interoperability initiatives that enhance quality measurement, care coordination, and regulatory compliance.
Collaborate with population health and operational leaders to improve performance on quality and value-based programs.
Provide education and guidance to leaders, providers, and staff regarding regulatory and reporting requirements.
Maintain responsibility for department operational excellence and ensure quality services comply with applicable policies, procedures, and professional standards.
Manage team members, including orientation, development, evaluation, and monitoring the delivery of quality services.
Participate in recruiting, interviewing, and selecting team members in accordance with policies, guidelines, and applicable laws.
Evaluate team member performance relative to job goals and requirements.
Coach staff, recommend education programs, and ensure adherence to internal policies and standards.
Manage department finances and ensure proper utilization of organizational financial resources.
Communicate departmental, organizational, and industry information to staff.