Regulatory Program Manager, Quality

CGH Medical Center

4d•$75,920 - $113,880•Onsite

About The Position

Our growth is creating great opportunities! Our team is growing and we want to hire the most talented people we can. Once you've had a chance to explore our current open positions, please apply to the one you feel best suits you! You can keep track of your progress in the selection process as well as stay updated on new positions that might interest you. POSITION PURPOSE: Responsible for managing and coordinating all aspects of regulatory programs (i.e., Quality Payment Program, Hospital Promoting Interoperability) including performance monitoring, data submission and quality improvement initiatives. Serves as an internal resource and external liaison to software vendors with EHR quality data and regulatory programs.

Requirements

Bachelor’s degree in business management, computer science, information technology, healthcare, or a closely related field
Three (3) years of professional level experience in working with systems with demonstrated project management experience or managing complex EHR implementation and optimization projects, or progressive project and process management experience.
Excellent organizational, oral, and written communication skills, problem solving, program development, computer skills, strong leadership, and team building skills.
Ability to work with a variety of disciplines and levels of staff across departments and present information clearly and concisely is required.
Excellent analytical skills, with the ability to collect and interpret data, identify trends, and make evidence-based recommendations.
Problem-solving and critical thinking abilities to identify issues, root causes, and innovative solutions.
Ability to manage multiple priorities, projects, and deadlines effectively.

Nice To Haves

Master’s degree in healthcare related field or business required within three years of hire.

Responsibilities

Point person facilitating the collaboration between the application owners and operational stakeholders to gather requirements and lead project teams through required build needs based on quality measures and regulatory requirements.
Review measures to stay up to date with the new requirements for CMS regulations and validate that the Epic build and current workflows meet the requirements of measure specifications.
Centralization of report development, production, and distribution of metrics to meet Promoting Interoperability attestation requirements.
Communicate issues with Electronic Medical Records (EMR) applications that affects Promoting Interoperability Program performance.
Coordinate activities to maintain public health registry engagement.
Effectively communicate reporting expectations to stakeholders in a timely and clear manner.
Estimate the resources and participants needed to achieve reporting goals.
Plan, schedule, and track reporting timeline, milestones, and deliverables using appropriate tools.
Proactively manage changes in reporting scope, identify potential issues, and devise contingency plans.
Monitors progress and reporting on regulatory program outcomes.
Update and integrate Medicare Reimbursement Regulatory (e.g., QPP, Hospital PI, 21st Century Cures Act, HTI-1, CPGs, etc.) guidelines into program strategies, ensuring adherence throughout the organization.
Lead software and clinical informatics projects related to federal and state required data collection, including but not limited to electronic Clinical Quality Measures (eCQM), Clinical Quality Measure/Core Measure, HEDIS, and required State reported data.
Collect, analyze, interpret, and report data related to healthcare provider performance, quality, and healthcare performance data utilizing expertise in data science and healthcare reporting.
Collaborate with cross-functional teams to develop and refine performance metrics, ensuring accuracy and integrity in the evaluation processes.
Drive continuous improvement initiatives based on data analysis and communicate findings to both technical and non-technical stakeholders.
Serve as liaison for regulatory bodies such as the State Department of Public Health, Centers for Medicare and Medicaid Services (CMS), and Joint Commission regarding data requirements and submissions.
Create dashboards and reports to effectively communicate data analysis results to business leaders.