Program Manager Clinical Quality Measure

BJC HealthCare • St. Louis, MO

1d

About The Position

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country. Role Purpose Responsible for promoting improvement in BJC’s compliance and performance in quality reporting programs by monitoring the national quality landscape and assessing opportunities for improving the quality of care in domains that impact BJC’s quality scores. Directs enterprise quality data collection and reporting (including electronic clinical quality measure, Centers for Medicare and Medicaid/The Joint Commission programs, National Surgical Quality Improvement Program (NSQIP), and other registries) and reports to BJC leadership system performance in quality metrics. Works with CCE and HSO leadership- to assess and prioritize improvement opportunities with regard to CMS and commercial payor quality-based reimbursement programs and other registries. Coordinates with and directs CCE and HSO resources to develop system initiatives to improve clinical quality. Participates in national programs and anticipates changes in national quality-based reimbursement and reporting programs. Tracks and communicates quality regulatory changes to BJC leadership.

Requirements

• Master's Degree
• 10+ years
• 5-10 years Supervisor Experience

Nice To Haves

• 10+ years Supervisor Experience

Responsibilities

• Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
• Develops and adheres to departmental staffing, revenue and/or expense budgets. Responds to changes in the business which may affect the ability to achieve the budget goals.
• Collaborates with CCE groups and HSOs to develop and implement projects to improve clinical quality issues that are reflected in quality-based reimbursement and both mandatory and voluntary quality reporting programs.
• Drives the daily operations of the regulatory (e.g. CMS and TJC) and other (e.g. Get With the Guidelines (GWTG), NSQIP, and pre-bill) clinical quality data collection for enterprise surveillance. Oversees and assesses enterprise performance measurement reporting systems.
• Coordinates with Shared Services and HSO stakeholders to ensure appropriate measurement and reporting for CMS digital quality measures and Promoting Interoperability programs.
• Tracks regulatory changes and trends in the national clinical quality measurement landscape, and keeps CCE and BJC leadership abreast of these matters. Reports to CCE and BJC leadership on the current and projected status of BJC HSOs with regard to quality-based reimbursement programs

Benefits

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

What This Job Offers

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