Senior Regulatory Analyst - Remote
Beacon Health System · Granger, IN · 1 mo ago
FinanceFull-time
Job Responsibility
- Support quality and regulatory inflight activities, with emphasis on CMS electronic clinical quality measures (eCQMs, MIPS, BCBS) for acute care.
- Coordinate submission requirements (e.g., electronic reporting of required measures) and track timelines (measures are typically reported a year ahead).
- Partner with quality representatives, operational leaders, and clinician leaders to interpret requirements from CMS, Joint Commission, Leapfrog, and related programs.
- Identify and engage with clinical and nursing workgroups to validate workflows, chartable items, and measure logic.
- Translate clinical orders and documentation to the CMS glossary (via Beacon/clinical groups as needed).
- Document and maintain workflows, references, and implementation guidance in Oracle wikis and knowledge bases.
- Research CMS and regulatory resources; curate reference materials for stakeholders.
- Facilitate recurring meetings (weekly/bi-weekly) to drive measure readiness, issue resolution, and stakeholder alignment.
- Support hybrid measure enablement (e.g., new PowerForms via Oracle packages or workflow processes).
- Monitor implementations across hospitals to identify best practices and emerging issues.
- User Oracle OAID, DA2 and CCL to provide analytics.
- Responsible for the technical analysis and design needed to ensure functionality and efficiency: CMS acute care eCQM submissions, including ensuring required measures are prepared for electronic reporting.
- Using Bedrock (and related EHR tooling) as a filtering/validation process to support measure configuration and outputs.
- Cerner package management and awareness of environment progression (Build, CERT, Production) and quarterly parameter/content updates.
- Coordinating Oracle SR/workflow readiness to ensure execution of required regulatory processes.
- Maintaining visibility into regulatory center processes and related identifiers.
- Supporting data visualization needs when tied to regulatory/quality reporting.
- Supporting all other duties as assigned.
Education And Experience
- The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a bachelor’s degree from an accredited college or university in Computer Science, IS, another appropriate field or equivalent experience.
- A minimum of three to five years of progressively more responsible experience in programming, and clinical/business acquiring knowledge of standard IT clinical/business practices for defined support areas.
- Possession of training and experience with those software and hardware products regularly used by Beacon is preferred. Beacon programs Oracle Cerner, CCL, DA2, SVN, data extracts, specialist with Regulatory reporting.
Knowledge & Skills
- Proficient with Oracle Cerner, CCL, DA2, SVN, specialist with Regulatory reporting required.
- Demonstrates knowledge of moderately complex computer operations and strong familiarity with standard concepts, practices and procedures within a particular field.