Quality Payment Program SME - CMS Public Reporting
Overview
Join a fast-growing company in Phoenix to lead CMS Quality Payment Program public reporting initiatives. You will serve as the SME providing historical knowledge and subject matter expertise. This role offers unique opportunities to shape public facing documentation for federal healthcare clients.
What You'll Do11
- 1Serve as the CMS Quality Payment Program SME by providing historical knowledge regarding annual measures program and policy changes
- 2Provide subject matter expertise to the analytic team regarding QPP measures collection types MVPs and Interoperability measures
- 3Develop and coordinate accurate public facing documentation related to public reporting for doctors and clinicians
- 4Review all QPP/MIPS measure changes and communicate changes affecting public reporting to the team and CMS
- 5Collaborate with QPP/MIPS implementation teams for review and clarification of annual measure changes
- 6Support analytical processes and perform QA of analytic and clinical deliverables
- 7Contribute to outreach material development
- 8Support Level 2 help desk inquiries and analytic investigations
- 9Develop briefing papers and coordinate enhancements with analytic teams
- 10Contribute to outreach material development
- 11Provide hands-on experience with quality measures measure specification development or implementation
Requirements14
- 1Bachelor's degree in a clinical field or Master's degree in Healthcare Informatics Public Health or related discipline
- 2Deep knowledge of CMS Quality Payment Program
- 3In-depth knowledge of Medicare Regulations and CMS regulations and guidelines
- 4Knowledge of the EPCS Program
- 5Minimum of 3-5 years of experience directly working with clinical quality measures
- 6Experience supporting large government healthcare programs
- 7Familiarity with CMS platforms and tools used for compliance tracking and reporting
- 8Proficiency with Microsoft Word Excel Outlook and MS Teams
- 9Analytical skills to analyze compliance data identify trends and issues
- 10Problem-solving skills in a regulatory environment
- 11Detail-oriented approach to ensure accuracy in compliance calculations and waiver reviews
- 12Strong collaboration abilities with internal and external teams
- 13Excellent verbal and written communication skills
- 14Ability to work collaboratively with internal and external teams to achieve program goals
Salary Insight
Salary not disclosed in listing
Similar open positions
Explore active roles that match your skills and interests.
001_BCBSA Blue Cross and Blue Shield Association
VerifiedHead of Medicare Performance Hub
Senior Director leading Medicare Performance Hub at BCBSA driving performance improvement in Star Ratings Risk Adjustment and Medical Cost Management. This role translates national program data into actionable guidance for Plans while managing complex stakeholder relationships across internal BCBSA teams BHI analytics partners and the Blue System.
Dallas Renal Group
VerifiedOperations and Compliance Manager, Healthcare Quality
You will own quality and compliance for a multi-site nephrology practice, ensuring adherence to CMS, HIPAA, and OSHA standards while driving operational efficiency. You will partner with providers, clinical staff, and leadership to maintain high-quality patient care and regulatory compliance. Your work directly impacts patient outcomes and practice performance. This role combines hands-on audits with strategic process improvement, offering a path to leadership.
Mount Auburn Hospital
VerifiedNursing Quality Risk Patient Safety Specialist Mount Auburn Hospital
Lead a team to own patient safety initiatives at Mount Auburn Hospital. This role will oversee data collection for pay-for-performance programs and drive continuous improvement in quality metrics. You will collaborate with clinical stakeholders to develop dashboards and lead root cause analyses while fostering a culture of safety and high reliability.
102 ICF Incorporated, LLC
VerifiedSenior Software Engineer CMS Data Pipelines
Design and lead development of Spark-based data pipelines for CMS scoring systems. Build ETL routines and data engineering solutions across Postgres Redshift and S3 Parquet. Collaborate with UI UX and quality teams to define data requirements. Ensure compliance with CMS standards while supporting clinicians. Must reside in the United States and work remotely from any U.S. location.
SMART TECH SKILLS LLC
VerifiedHealthcare Systems Program Manager, MMIS & Medicaid
Own end-to-end technical initiatives across enterprise Medicaid Management Information Systems (MMIS) workstreams at Smart Tech Skills LLC. You will author technical business cases, RFPs, RFQs, and federal or state funding requests, and lead procurement review teams through vendor selection and contract negotiations. Work alongside cross-functional teams in design, development, testing, and deployment of enterprise IT solutions, while instituting CAB controls and coordinating capacity planning. This role stands out for its public sector focus and the breadth of influence across procurement, governance, and delivery.
US048 Mercer Health & Benefits LLC
VerifiedGovernment Pharmacy Consultant, Medicaid Analytics
You will own Medicaid pharmacy data analysis to drive rate development and efficiency programs for state governments. Collaborate with licensed pharmacists, actuaries, and financial specialists to uncover cost-saving insights. This role embraces AI and technology-enabled tools, offering hybrid work near any Mercer office with at least three days onsite. You'll present findings to clients and shape project scope, making a direct impact on public health spending.