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Quality Measures SME

SoftramsUnited StatesRemote
This job is no longer open
Job Description:
Softrams is looking for a Healthcare Quality Measures Subject Matter Expert with excellent knowledge of the Quality Measures utilized at the Center for Medicare & Medicaid Services (CMS). This resource will support one or more CMS program efforts at Softrams. The ideal candidate needs to be an expert in CMS Medicare and Medicaid policies and data. This is a full-time W-2 opportunity.

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:


·    65%-75% company sponsored (including dependents) premiums towards Medical, Dental & Vision Insurance. 100% employer sponsored STD, LTD & Life Insurance (min $100K). Voluntary Life insurance option available. ·    Retirement 401(k) Plan with employer matching. Immediate vesting. ·    Vacation & Sick leave ·    Parental and maternity leave·    Discretionary bonuses, spot awards, gifts, and tenure-based rewards·    Company sponsored role based certifications/trainings. ·    Monthly Doordash DashPass subscription. ·    Group discounts via LifeMart ADP Apply for this job

This job is no longer open

Life at Softrams

Softrams is founded with a vision to redefine digital frontiers by building empowering, human centered digital solutions. We deliver full stack solutions with engaging User Experience (UX), empowering DevOps, Data driven insights and Cyber Security. The App Foundry @ Softrams is our research lab and innovation hub with dynamic collaboration spaces, where ideas come to life. Our customers walk in with a challenge and walk away with a practical, human centered solution. We believe in mentoring to bring the best in each of us and build the next generation talent in UX, DevOps, AI and Cyber Security with job ready workshops and training programs. We offer Google CS First clubs to introduce Computer Science to kids, job ready training and internship programs for young adults to unleash their careers and workshops for professionals to advance their careers.
Thrive Here & What We Value1. RemoteFirst Team Environment2. Eastern Time Zone Standard Work Hours3. Affirmative Action and Equal Opportunity Employer (EEO Statement)4. Access, Equal Opportunity, Reasonable Accommodation for Disabilities5. 65-75% Company Sponsored Insurance Premiums6. 100% Employer Sponsored STD/LTD/Life Insurance (min $100K)7. Retirement 401(k) Plan with Immediate Vesting8. Discretionary Bonus, Spot Awards, Tenure Based Rewards9. Public Trust Clearance Requirement
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