Quality Measures SME

Qualifications:

• Bachelor's degree in healthcare management and policy or related field.
• Working knowledge of CMS’ National Quality Strategy and the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
• Demonstrated understanding of the use of quality measures CMS across various programs (e.g., MIPS, Alternative Payment Model Performance Pathway APP).
• Demonstrated and detailed knowledge of the development, reporting, and use of quality measures at CMS.
• 5+ years of experience working with CMS quality measures
• 7+ years working as a business analyst, SME, or similar role
• Must have lived in the United States for at least 3 years in the last 5.
• Must be able to obtain a public trust clearance.
• Must reside in and be able to perform work in the United States.

Responsibilities:

• Evaluates business processes and operations pertaining to the use of CMS quality measures by implementing subject expertise, identifies problem areas, and provides relevant business solutions to improve performance.
• Offers guidance and required knowledge on quality reporting and value-based payment programs to product teams during the software development life cycle.
• Works with teams in the implications for management systems of CMS quality measure programs and reporting, especially related to Alternative Payment Models.
• Advises on the impact of regulatory changes to CMS quality measures and associated programs.
• Contributes to specialized knowledge and provides mentorship and training to teams as it pertains to CMS quality measure programs.
• Verifies business and technical information, including the training manuals, user guides, and system requirements.
• Publicizes important information and documents processes to stakeholders.

Benefits and Perks: