Job Title: Quality Payment Program SME Project Description: It’s an exciting time to be joining a rapidly growing small business! Rainmakers Strategic Solutions, LLC, is looking to expand capabilities in the government h…
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Full-time
bachelor degree, postgraduate degree
Posted 5d ago
Apply by Nov 5
~40 hrs/week
Remote in United States
Responsibilities
The SME will serve as the primary expert for CMS Quality Payment Program and MIPS public reporting, providing guidance on annual measures and policy changes. They will also develop public-facing documentation and collaborate with analytic teams to ensure accurate clinical deliverables.
Requirements
Candidates must possess a Bachelor's degree in a clinical field or a Master's in Healthcare Informatics or Public Health. A minimum of 3-5 years of experience working directly with clinical quality measures and deep knowledge of CMS regulations is required.
Full job description
Job Title: Quality Payment Program SME
Project Description: It’s an exciting time to be joining a rapidly growing small business! Rainmakers Strategic Solutions, LLC, is looking to expand capabilities in the government health care space to support an expanding portfolio of federal healthcare clients. We seek a clinical quality analyst to support the Public Reporting for Doctors and Clinicians initiative.
We are looking for a strong communicator who can analyze quality program requirements, draft reports, support the statistical team, and ensure accurate public facing documentation related to the initiative.
Key Responsibilities:
Serve as the CMS Quality Payment Program (QPP)/ Merit-based Incentive Payment System (MIPS) public reporting SME by providing historical knowledge regarding annual measures, program, and policy changes.
Provide subject matter expertise to the analytic team regarding QPP measures, collection types, MVPs, IAs, and Promoting Interoperability (PI) measures by identifying annual changes and appropriately adjusting public reporting recommendations for CMS.
Develop and coordinate accurate public facing documentation related to public reporting for doctors and clinicians.
Important Tasks:
Review all QPP/MIPS measure changes and communicate changes affecting public reporting to the team and CMS
Collaborate with the QPP/MIPS implementation teams for review and clarification of annual measure changes to support public reporting recommendations
Support analytical processes and perform QA of analytic and clinical deliverables
Support concept testing activities
Develop briefing papers and coordinate enhancements with the analytic teams
Support Level 2 help desk inquiries and analytic investigations
Contribute to development of outreach materials
Education: Bachelor's degree in a clinical field (such as Nursing) or a Master’s degree in Healthcare Informatics, Public Health, or a related discipline.
Relevant Knowledge:
Deep knowledge of the CMS Quality Payment Program.
Ability to interpret clinical measure specifications and assess substantive changes.
Medicare Regulations: In-depth knowledge of CMS regulations and guidelines, specifically related to quality programs. Knowledge of the EPCS Program a plus.
Hands-on experience with quality measures, measure specification development, or measure implementation.
Ability to review and summarize proposed and final rules published in the Federal Register.
Years of Experience: Minimum of 3-5 years of experience in directly working with clinical quality measures.
Relevant Past Experience: The ideal candidate will have experience supporting large government healthcare programs.
Special Skills:
Analytical Skills: Ability to analyze compliance data and identify trends and issues.
Problem-Solving Skills: Effective in identifying problems and implementing solutions in a regulatory environment.
Communication Skills: Excellent verbal and written communication skills to effectively interact with prescribers, stakeholders, and team members.
Detail-Oriented: Strong attention to detail to ensure accuracy in compliance calculations and waiver reviews.
Collaboration: Ability to work collaboratively with internal and external teams to achieve program goals.
Software Proficiency:
CMS Platforms: Familiarity with CMS platforms and tools used for compliance tracking and reporting.
Microsoft Tools: Proficient in use of Word, Excel, Outlook, and shared communication platforms such as MS Teams
Delivering value-added consulting services that enable our clients to envision, implement and measure their goals.
Industry
Business Consulting and Services
Company size
51-200 employees
Founded
2008
Headquarters
Phoenix, Arizona
LinkedIn followers
4,262
Rainmaker Strategic Solutions is a woman-owned consulting firm founded in 2008. We specialize in training, stakeholder engagement, meeting and event management, and program management to deliver innovative solutions that meet the unique needs of our federal government clients. Our growing team of 60+ employees across 22 states includes pharmacists, nurses, public health professionals, certified government meeting planners and a team of professionals. Committed to excellence, we excel in enhancing processes, addressing client needs, and consistently exceeding client expectations.
Our Mission:
To deliver value-added consulting services that enable our clients to envision, implement and measure achievement of their transformational and strategic goals.
Our Philosophy:
Initiate innovation and strategic thinking to accelerate the right decision for our clients, while producing valuable, enduring results.
• Excellence and quality are not optional. They are both our commitment and our guarantee.
• Passion fuels our enthusiasm for achieving lofty goals and consistently surpassing client expectations.
• Diversity and inclusion are the keys to innovation. Our team-based processes and tools facilitate broad cross-team engagement and thought leading solutions to complex client problems.
• Knowledge empowers our team through a culture that promotes continuous learning; enabling continuous improvement.
Offices: 18444 N 25th Ave, Phoenix, Arizona 85023, US · 3545 Ellicott Mills Dr, Ellicott City, Maryland 21043, US
Program ManagementHealth Policy Support & ResearchProgram IntegrityAcquisition SupportEvent PlanningEvaluation & AnalysisStakeholder EngagementHealthcare Quality Measures DevelopmentEvent managementVoice of the Patient
Delivering value-added consulting services that enable our clients to envision, implement and measure their goals.
Industry
Business Consulting and Services
Company size
51-200 employees
Founded
2008
Headquarters
Phoenix, Arizona
LinkedIn followers
4,262
Rainmaker Strategic Solutions is a woman-owned consulting firm founded in 2008. We specialize in training, stakeholder engagement, meeting and event management, and program management to deliver innovative solutions that meet the unique needs of our federal government clients. Our growing team of 60+ employees across 22 states includes pharmacists, nurses, public health professionals, certified government meeting planners and a team of professionals. Committed to excellence, we excel in enhancing processes, addressing client needs, and consistently exceeding client expectations.
Our Mission:
To deliver value-added consulting services that enable our clients to envision, implement and measure achievement of their transformational and strategic goals.
Our Philosophy:
Initiate innovation and strategic thinking to accelerate the right decision for our clients, while producing valuable, enduring results.
• Excellence and quality are not optional. They are both our commitment and our guarantee.
• Passion fuels our enthusiasm for achieving lofty goals and consistently surpassing client expectations.
• Diversity and inclusion are the keys to innovation. Our team-based processes and tools facilitate broad cross-team engagement and thought leading solutions to complex client problems.
• Knowledge empowers our team through a culture that promotes continuous learning; enabling continuous improvement.
Offices: 18444 N 25th Ave, Phoenix, Arizona 85023, US · 3545 Ellicott Mills Dr, Ellicott City, Maryland 21043, US
Program ManagementHealth Policy Support & ResearchProgram IntegrityAcquisition SupportEvent PlanningEvaluation & AnalysisStakeholder EngagementHealthcare Quality Measures DevelopmentEvent managementVoice of the Patient