About the position
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. As a Healthcare Quality Reporting Specialist, you will manage services provided to healthcare facilities and medical clinicians to ensure that reporting efforts related to quality payment programs (such as CMS MIPS, ACO, BCPI, etc.) meet the regulatory and compliance requirements of their respective programs. You will be responsible for ensuring that these reports are submitted according to mandated standards and timelines. This role involves conducting ongoing product evaluations and developing plans, tools, and strategies that enhance end-user experiences. Your responsibilities will include working closely with healthcare administrators, managers, and medical staff to analyze baseline data from internal quality performance processes and outcomes. You will familiarize clients and staff with reporting specifications and revisions of current quality payment programs, acting as a resource for interpreting regulations and specifications as they apply to different quality payment programs. Additionally, you will identify relevant training needs and deliver training to ensure compliance and understanding of quality reporting protocols. You will also promote quality achievement and performance improvement through pre-audit chart reviews, using targeted data to identify gaps in clinical care, and suggesting quality improvement strategies. Collaborating with IT, you will collate and prepare data for submission via authorized protocols and assist in interpreting feedback from regulatory agencies to share with stakeholders. Finally, you will prepare action plans to maintain satisfactory reporting results or remediate any deficiencies as necessary.
Responsibilities
- Manage services provided to healthcare facilities and medical clinicians to ensure compliance with quality payment programs.
- Facilitate client engagement in activities impacting effective reporting for quality payment programs.
- Analyze baseline data from internal quality performance processes and outcomes with healthcare staff.
- Familiarize client/staff with reporting specifications and revisions of current quality payment programs.
- Interpret regulations and specifications as they apply to different quality payment programs.
- Identify training needs and deliver training for quality program compliance.
- Provide support and training for software and technology tools used for data collection activities.
- Promote quality achievement and performance improvement through pre-audit chart reviews.
- Use targeted data to identify gaps in clinical care and suggest quality improvement strategies.
- Collate and prepare data for submission via authorized protocols in collaboration with IT.
- Assist in interpreting feedback from quality payment program regulatory agencies for stakeholders.
- Prepare action plans to maintain satisfactory reporting results or remediate deficiencies.
Requirements
- 2-4 years of experience in a relevant field.
- Bachelor's Degree in a related discipline.
- Previous experience in a medical setting is helpful.
- Excellent computer skills, proficient in Excel, Word, and Outlook.
- Strong client-facing skills with a commitment to customer satisfaction.
- Effective problem-solving skills.
- Ability to handle confidential materials professionally.
- Excellent verbal and written communication skills.
