Program Manager, Quality and Regulatory

Company: MemorialCare Health System
Location: Fountain Valley
Posted on: September 3, 2024

Job Description:

Title: Program Manager, Quality and RegulatoryLocation: Fountain Valley, CA / Predominately RemoteDepartment: Information ServicesStatus: Full-TimeShift: DaysPay Range: $135,096.00 - $195,915.20/annuallyMemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.Position SummaryThe Program Manager of Quality and Regulatory is dedicated to the advancement of MemorialCare's clinical quality strategic goals and regulatory compliance requirements. This role will ensure that data-driven opportunities for clinical improvement are addressed, including leading quality improvement initiatives by partnering with applicable department leaders and stakeholders. This role is responsible for developing and driving successful clinical transformation activities, particularly through engaging organizational leadership in the implementation of clinical improvements, system changes, processes, and standards.The Program Manager of Quality and Regulatory will ensure the continuous review and analysis of the Regulatory Program guidelines to evaluate technical needs and ongoing support changes required. This role will have oversight and coordination of associated efforts to evaluate and determine MemorialCare's direction for regulatory compliance with the Chief Compliance Officer, Clinical Quality teams, key stakeholders, and impacted IS teams. This Program Manager must have the ability to communicate, champion and advance ideas and needs with all levels of leadership across the entire organization. They will work with all levels of staff, both within and outside of the IS department, and routinely function as a critical problem solver and subject-matter-expert for these teams. This Program Manager will have accountability for the productivity and outcomes produced by outsourced services. They will manage the contractual and budgetary aspects of these Quality and Regulatory services while ensuring that new needs are identified and aligned with the appropriate blend of internal and external resources.Essential Functions and Responsibilities of the Job

• Oversee and directly manage the IS Quality program and lead the strategic planning, review, and governance of initiatives associated with it.
• Manage all phases of assigned IS Quality Program, including identifying and defining project requirements, defining scope and objectives, as well as preparing new program enhancement proposals, timeframes, and overall schedule associated with these identified enhancements.
• Oversee routine tasks and deliverables within the program and develop key performance indicators to provide visibility into the program/portfolio roadmap.
• Provide effective vendor management of outsourcing vendor for their Quality reporting responsibilities and ensure that what they provide meets contractual expectations. This includes budget management, providing for contractual amendments as needed, and ensuring organizational needs in the space of Quality reporting are met from an IS perspective.
• Lead or conduct comprehensive analysis associated with existing or proposed service and/or system solutions.
• Assist in the evaluation, selection, implementation, and use of advanced information technology.
• Identify and resolve problems of varying complexity as well as conduct root cause analysis of problems, taking actions to prevent recurring instances of issues.
• Create and maintain documentation, plans, templates, and reports on assigned tasks.
• Develop and maintain program budgets and oversee expenditures.
• Monitor and report on progress against established project milestones.
• Mentor other members of the IS project management team.
• Be at work and be on time.
• Follow company policies, procedures, and directives.
• Interact in a positive and constructive manner.
• Prioritize and multitask.Qualifications/Work Experience:
  • Minimum 5 years project management or relevant experience required.
  • Minimum 5 years system analyst or equivalent business experience.
  • Minimum of 5 years experience with providing for Quality reporting in an enterprise Healthcare organization consisting of inpatient and ambulatory business.
  • Deep understanding in creating and providing Quality reports for Promoting Interoperability, MIP/MACRA/MIPS Value Pathways (MVP), Primary Care First, and Joint Commission Electronic Quality Measures experienced in managing enterprise project portfolios, programs, and projects, including the management of the portfolio budget and the ability to interact with all staff levels of the organization.
  • Demonstrated overall knowledge of the healthcare business environment, including Medical Groups, IPAs, and Health Plans for Managed Care business workflows including Hospital workflow.
  • Experienced working in a fast-paced environment with minimal supervision and managing multiple priorities.
  • Proven excellent leadership and relationship management skills, as well as the ability to manage and motivate indirect reports.
  • Deep knowledge and experience working with reporting tools to create reports, understanding of database architecture and the ability to mine and analyze healthcare data would be extremely useful.
  • Experienced working in a team-oriented, collaborative environment.
  • Demonstrated understanding of key areas of the healthcare business.
  • Demonstrated high energy levels and tolerance of tight deadlines, time pressures, and ambiguity.
  • Proven knowledge of PCs, collaborative computing tools, re-engineering and process improvement techniques, information management in healthcare, systems integration and basic project finance regulations.
  • Experienced in leading projects, providing expert consultative guidance and direction on change initiatives, effectively dedicating time across more than one project, and meeting established deadlines.
  • Proven ability to prepare and interpret flowcharts, schedules, and step-by-step action plans.
  • Demonstrated proficiency with the Microsoft Suite Products required.
  • Demonstrated analytical, creative thinking, and problem-solving skills.
  • Proven superior oral and written communication and presentation skills; able to interact with individuals across all departments.Education/Licensure/Certification:
    • Bachelor's degree or equivalent combination of education and relevant experience required; Master's degree preferred.
    • Project Management Professional (PMP) or equivalent PMI recognized certification preferred.Primary LocationUnited States-California-Fountain Valley
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Keywords: MemorialCare Health System, Fountain Valley , Program Manager, Quality and Regulatory, Executive , Fountain Valley, California