Healthcare Quality Program Manager Consultant

posted on April 16, 2020

Job Description

Location: San Jose, CA

Duration: 6+ Months

Responsibilities: 

  • Work with Decision Support Services to complete an annual Provider/Hospital Eligibility Analysis
  • Government reporting and attestation for Meaningful Use using electronic submission
  • Provide status and necessary communication to CMS/State regarding SCVHHS’ MU reporting and attestation.
  • Create and manage an onboarding and off-boarding process for the collection of Delegation and Attestation forms
  • Work with Decision Support Services to complete group reporting workbooks and cost reports
  • Assist the finance department with budgeting and financial forecasting of incentive payments.
  • Respond to CMS/State questions regarding Attestation Reports (e.g. Financial Audits, Attestation Audits)
  • Coordinate with the HealthLink team to ensure that HealthLink is configured to meet and report on the identified quality programs. o Initially the focus will be Meaningful Use but would expand to other areas including but not limited to: PCMH, DSRIP, HEDIS, Core Measures, Joint Commission
  • Create and maintain a program documentation outlining the program scope (e.g., design, build, testing, training, reporting, data validation and attestation), as well as a break-down of the work effort and timeline requirements.
  • Track updates, progress, follow-ups, and meetings between HL team members, reporting teams, clinical leadership, and compliance representatives.
  • Coordinate workflow validation sessions with the HL team and operational leaders.
  • Create and update tools and workflows needed to support Meaningful Use initiatives.
  • Validate Reports with Operational Leaders (compliance, providers, legal, unions, finance, etc). Collaborate with HealthLink Physician Champions to address questions regarding reports, data and tools.
  • Work with DSS/HealthLink Reporting team to ensure the reports necessary for attestation are properly configured according to the agreed upon reporting and attestation timelines.
  • Review nova notes and work with Epic representatives and the appropriate analysts to ensure that appropriate SU packages are installed.
  • Communication with Operations on objectives, workflow, design and timelines in relation to HealthLink activities.
  • Assist Operational Leaders with updating policies and procedures for quality programs.
  • Work with the HL Training Manager and Staff Developers to ensure all new user training contains appropriate components of quality related workflows and to create additional training materials and strategies for training experienced users on any quality related workflow changes.
  • Provide status and necessary communication to the HealthLink Steering Committee.
  • Attend and actively participate in HL and Quality department meetings.
  • Performs other related duties as assigned.

Requirements: 

  • Experience in business analysis
  • Experience with Epic clinical applications, regulatory standards, healthcare law and finance

Knowledge of:

  • Principles and procedures in project management process and life cycle methodology and business operations
  • Principles of health and hospital organization and administration
  • Electronic Health Record application functionality, content and associated workflows
  • Regulatory standards, federal and state healthcare laws and regulations and finance
  • Current trends, issues and legislation relating to community health services
  • Information systems, technology and practices as they relate to a large mainframe environment, with complex networks and multi-vendor equipment
  • Principles, practices and techniques of program development, implementation and evaluation in a health setting
  • Operations analysis and procedures development techniques
  • Data collection, analysis and development of valid conclusions within a healthcare setting
  • Quality improvement standards, policy, procedures and protocols
  • Methods of administrative problem solving
  • Medical terminology
  • Record keeping and reporting procedures

Ability to: 

  • Work with minimal guidance
  • Plan, organize, direct, and coordinate individuals and functions
  • Organize and manage multiple projects involving several departments and vendors
  • Determine courses of action and evaluate the impact of decisions on the organization
  • Understand and communicate information about complex systems to individuals with varying levels of experience
  • Select, train, supervise, develop and evaluate staff
  • Identify the need for changes in program policies and practices and to develop proposals for appropriate changes
  • Establish and maintain cooperative and effective working relationships with those contacted in the course of work
  • Prepare, present, and interpret factual and statistical data
  • Communicate clearly and concisely both orally and in writing
  • Interact with and work collaboratively with multidisciplinary teams and process stakeholders
  • Learn and retain knowledge of all assigned applications – primarily HealthLink
  • Coordinate and communicate with process stakeholders
  • Multi-task complex work assignments
  • Prioritize effectively and manage time efficiently
  • Resolve conflicts
  • Lead Meetings
  • Maintain issues lists
  • Manage project plans
  • Perform under pressure with tight deadlines
  • Listen and suggest ways to complement or assist the work of others
  • Be flexible, collaborative and work to fill gaps and void overlaps in local system activities
  • Motivate key process stakeholders including Nurses, Physicians, and other clinical and administrative staff
  • Understand, translate and document complex clinical and/or business workflows