Note: The job is a remote job and is open to candidates in USA. City of Hope is a healthcare organization focused on treating cancer, diabetes, and other life-threatening illnesses. The Senior Regulatory Quality Program Manager leads enterprise regulatory quality programs, translating federal and state requirements into EHR workflows, data capture processes, reporting logic, and performance measurement frameworks. The role also oversees regulatory reporting, data validation, quality improvement, stakeholder coordination, and compliance performance across the organization.
Responsibilities
- Serves as a subject matter expert in healthcare regulatory programs, including CMS quality reporting and interoperability requirements, with a primary focus on quality performance measurement and data integrity
- Monitors evolving federal and state regulatory requirements and translates these into regulatory measure specifications, reporting logic, and EHR-aligned data capture workflows
- Coordinates the planning, implementation, and execution of regulatory programs (e.g., MIPS, eCQMs, registry-based submissions), ensuring accurate, timely, and compliant reporting
- Evaluates the operational and financial impact of regulatory performance and supports optimization of data capture, documentation, and reporting processes
- Partners with Quality Analytics, Clinical Operations, and Information Technology teams to align EHR workflows, data structures, and report outputs with regulatory requirements
- Provides guidance and education to stakeholders on measure definitions, documentation standards, and regulatory program expectations
- Ensures measurable outcomes through consistent tracking of performance metrics, reporting deliverables, and program milestones
- Leads ongoing evaluation of regulatory quality measure performance, including data completeness, accuracy, and alignment between clinical workflows and reporting requirements
- Validates measure logic, including numerator/denominator integrity, inclusion/exclusion criteria, and data mapping across EHR and reporting systems
- Analyzes complex performance data to identify gaps, variation, and opportunities for improvement, and recommends EHR build changes, workflow modifications, and documentation enhancements to improve measure performance and reporting accuracy
- Coordinates data collection and abstraction activities across assigned resources to support regulatory submissions, including prioritization of work, issue resolution, and alignment to measure specifications and timelines
- Collaborates with clinical, operational, and analytics stakeholders to resolve discrepancies and ensure consistency in reported data
- Develops and maintains documentation of regulatory measure logic, data definitions, workflows, and reporting processes to support validation, auditability, and sustainable program execution
- Supports clinical leadership in operationalizing regulatory quality programs and performance improvement initiatives aligned with organizational goals
- Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace code of Conduct and Compliance Plan
- Practices a high level of integrity and honesty in maintaining confidentiality
- Performs other related duties as assigned or requested
Skills
- Bachelor's degree in healthcare, information systems, business or related field
- Seven years of relevant experience in healthcare regulatory programs, quality analytics, clinical informatics, or program management within a healthcare environment
- Demonstrated experience working with regulatory quality reporting, EHR-based data capture, and cross-functional program coordination required
Benefits
- Fully Remote Opportunity within the United States
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