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Sharecare, Inc. Sr. Manager, Healthcare Quality Reporting - Remote in Helena, Montana

Job Description:

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. To learn more, visit www.sharecare.com.

Job Summary:

Manages services provided to healthcare facilities and medical clinicians to ensure that reporting efforts related to quality payment programs meet the regulatory and compliance requirements of their respective programs and are reported per mandated submission standards and timelines. Conducts ongoing product evaluation and develops plans, tools and strategies that enhance end user experiences.

Essential Job Functions:

  • Manages services provided to healthcare facilities and medical clinicians to ensure that reporting efforts related to quality payment programs meet the regulatory and compliance requirements of their respective programs and are reported per mandated submission standards and timelines. Conducts ongoing product evaluation and develops plans, tools and strategies that enhance end user experiences.

  • Supervise, work with and train staff in facilitating client engagement in activities that have an impact on effective reporting for quality payment programs, including:

  • Working with administrators, managers, and medical staff to analyze baseline data from internal quality performance processes and outcomes.

  • Familiarizing client/staff with reporting specifications and revisions of current quality payment programs.

  • Functioning as a resource for interpreting the meaning of regulations and specifications as they apply to different quality payment programs.

  • Identifying relevant quality program training needs and delivering the training.

  • Providing support and training for software and technology tools used for data collection activities.

  • Promoting quality achievement and performance improvement through pre-audit chart reviews for signs of non-compliance with quality reporting program protocols, procedures, and specifications.

  • Using targeted data to identify gaps in clinical care and implement quality improvement strategies that will optimize quality reporting outcomes.

  • Collecting and preparing data for submission via authorized and accepted submission protocols.

  • Assisting with interpreting final adjudications and detailed feedback, from quality payment program regulatory agencies, to be shared with all stakeholders in the facility or clinic.

  • Preparing future action plans that maintain performance for satisfactory reporting results or remediate deficient performance, as applicable.

Qualifications:

  • 8 years of experience

  • Bachelor’s Degree

  • Previous experience in medical setting helpful

  • Excellent computer skills and proficient in Excel, Word, Outlook

  • Excellent client facing skills and commitment to providing the highest level of customer satisfaction

  • Effective problem solving skills

  • Ability to handle confidential materials and information in a professional manner

  • Excellent verbal and written skills necessary for communication with patients/clients, providers, and other staff

  • Reliable transportation

HIPAA/Compliance:

  • Maintain privacy of all patient, employee and volunteer information and access such information only on a need to know basis for business purposes.

  • Comply with all regulations regarding corporate integrity and security obligations

  • Report unethical, fraudulent or unlawful behavior or activity

  • Maintain current and yearly HIPAA certification.

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.

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