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Quality Measures SME

Softrams
Remote USA
Remote
Full-Time
8
Calm

Summary

Responsibilities

  • Evaluate business processes and operations pertaining to CMS quality measures and provide relevant business solutions to improve performance.
  • Guide product teams on quality reporting and value-based payment programs during the software development life cycle.
  • Advise on the impact of regulatory changes to CMS quality measures and associated programs.
  • Contribute specialized knowledge and provide mentorship and training to teams regarding CMS quality measure programs.
  • Verify business and technical information, including training manuals, user guides, and system requirements.

Requirements

  • Bachelor's degree in healthcare management and policy or related field.
  • 5+ years of experience working with CMS quality measures.
  • 7+ years working as a business analyst, SME, or similar role.
  • Working knowledge of CMS’ National Quality Strategy and MACRA.
  • Must be able to obtain a public trust clearance.

Benefits

  • 65%-75% company sponsored premiums towards Medical, Dental & Vision Insurance.
  • Retirement 401(k) Plan with employer matching and immediate vesting.
  • Vacation & Sick leave and parental/maternity leave.
  • Company sponsored role-based certifications/trainings.
  • Monthly Doordash DashPass subscription.

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Full Details of Job Post

Job Description:

Softrams is looking for a Healthcare Quality Measures Subject Matter Expert with excellent knowledge of the Quality Measures utilized at the Center for Medicare & Medicaid Services (CMS). This resource will support one or more CMS program efforts at Softrams. The ideal candidate needs to be an expert in CMS Medicare and Medicaid policies and data. This is a full-time W-2 opportunity.

Qualifications:

    • Bachelor's degree in healthcare management and policy or related field.
    • Working knowledge of CMS’ National Quality Strategy and the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
    • Demonstrated understanding of the use of quality measures CMS across various programs (e.g., MIPS, Alternative Payment Model Performance Pathway APP).
    • Demonstrated and detailed knowledge of the development, reporting, and use of quality measures at CMS.
    • 5+ years of experience working with CMS quality measures
    • 7+ years working as a business analyst, SME, or similar role
    • Must have lived in the United States for at least 3 years in the last 5.
    • Must be able to obtain a public trust clearance.
    • Must reside in and be able to perform work in the United States.

Responsibilities:

    • Evaluates business processes and operations pertaining to the use of CMS quality measures by implementing subject expertise, identifies problem areas, and provides relevant business solutions to improve performance.
    • Offers guidance and required knowledge on quality reporting and value-based payment programs to product teams during the software development life cycle.
    • Works with teams in the implications for management systems of CMS quality measure programs and reporting, especially related to Alternative Payment Models.
    • Advises on the impact of regulatory changes to CMS quality measures and associated programs.
    • Contributes to specialized knowledge and provides mentorship and training to teams as it pertains to CMS quality measure programs.
    • Verifies business and technical information, including the training manuals, user guides, and system requirements.
    • Publicizes important information and documents processes to stakeholders.
Benefits and Perks:
·    65%-75% company sponsored (including dependents) premiums towards Medical, Dental & Vision Insurance. 100% employer sponsored STD, LTD & Life Insurance (min $100K). Voluntary Life insurance option available. 
·    Retirement 401(k) Plan with employer matching. Immediate vesting. 
·    Vacation & Sick leave
·    Parental and maternity leave
·    Discretionary bonuses, spot awards, gifts, and tenure-based rewards
·    Company sponsored role based certifications/trainings. 
·    Monthly Doordash DashPass subscription. 
·    Group discounts via LifeMart ADP 


Public Trust Clearance:
This role requires the hired candidate to go through public trust clearance. A minimum of 3 years of stay in the U.S. within the last 5 years is required to be eligible to qualify for public trust clearance sponsorship. 
 
Work Location:
We have open-collaboration offices in Leesburg VA and Baltimore MD for those who may prefer to work on-site. However, Softrams is a 100% remote-first team environment. Softrams works in the eastern time zone and standard work hours are 9am ET to 5pm ET with flexibility around start and end times based on team needs.

About Softrams:
Softrams is a Maryland and Virginia-based small business information technology, consulting, and solutions provider specializing in emerging technologies for UX/UI, mobile apps, DevOps, big data analytics, data science, and cyber security. We offer innovative technology implementations and build customer-centric services that are simple, intuitive, scalable, efficient and usable. 

EEO Statement:
Softrams, LLC. is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Softrams is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, or to participate in the job application or interview process, contact the Talent Acquisition Team at [email protected]

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