Manager - Quality & Regulatory Reporting

Baptist Health Care • Pensacola, FL

1d

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 effects 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 the department’s operational excellence and fiscal management, and leads team members through orientation, development, evaluation, coaching, and adherence to organizational policies and professional standards. Baptist Health Care is a not-for-profit health care system serving northwest Florida and south Alabama. It includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and a primary and specialty care provider network, with more than 4,000 team members.

Requirements

• At least 5 years of experience in healthcare quality, regulatory reporting, accreditation, compliance, or performance improvement.
• At least 1 year of project management and leadership experience.
• At least 1 year of experience interpreting healthcare regulations and quality reporting requirements.
• Bachelor’s degree in healthcare, business, public health, nursing, or a related field.

Nice To Haves

• At least 1 year of experience with CMS quality reporting programs and value-based reimbursement models.
• At least 1 year of leadership experience in a healthcare quality or regulatory environment.

Responsibilities

• Manage regulatory and quality reporting activities and submission deadlines, ensuring reporting is timely and accurate.
• 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 about regulatory and reporting requirements.
• Maintain department operational excellence and ensure quality services comply with applicable policies, procedures, and professional standards.
• Manage team members, including orientation, development, evaluation, recruiting, interviewing, selection, coaching, and adherence to internal policies and standards.
• Manage the department’s fiscal resources and ensure their proper utilization.
• Communicate departmental, organizational, and industry information to staff.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager