The Program Manager, Regulatory Reporting, articulates program strategy to achieve the business objective, creates and oversees execution structure for the program, clarifies business impact and coordinates underlying projects to attain their combined benefits for the program.
The Program Manager, Regulatory Reporting, works closely with the business and system quality teams to analyze regulatory rule impacts to the organization, develop and validate regulatory data submissions and to act as a knowledge base for the organization. Building upon this, the Regulatory Reporting Program Manager applies organizational standards and guidelines to define, organize and oversee a program execution structure. Within the execution structure, Program Manager, Regulatory Reporting communicates the regulatory changes and impacts, coordinates effort, and provides oversight to improve the organizations outcomes, meet all regulatory deadlines and submit all mandatory data.
The skills required for this role are ability to look at the big picture, ability to comprehend and translate regulatory rules and guidelines, strong project management, proficiency with fostering team culture and dynamics, negotiate through disputes, excellent communication skills, and the ability to guide, referee and integrate various teams involved in the program.
Review and articulate regulatory rule changes and proposed rule changes from both CMS (Centers for Medicare Services) and TJC (The Joint Commission), including impacts to the business.
Establish program governance structure to oversee the program, clarify accountability, sponsorship and decision-making for the program.
Establish program communications plan for the organization that brings together stakeholders in the program objectives.
Develop plans and procedures for regulatory submissions.
Validate accuracy of regulatory submissions and submit necessary data to regulatory entities.
Actively communicate known or potential concerns, as well as submission status to leadership and stakeholders.
Document the program, including adherence to organizational standards and alignment with business objective.
Develop and guide plans for the maintenance and requirements of the electronic health record system related to regulatory components
Analyze available options and communicate recommendations to business.
Organization Expectations, as applicable:
Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served
Partners with patient caregiver in care/decision making.
Communicates in a respective manner.
Ensures a safe, secure environment.
Individualizes plan of care to meet patient needs.
Modifies clinical interventions based on population served.
Provides patient education based on as assessment of learning needs of patient/care giver.
Fulfills all organizational requirements
Completes all required learning relevant to the role
Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures, and standards.
Fosters a culture of improvement, efficiency, and innovative thinking.
Performs other duties as assigned
Bachelors degree in business, technology or related field or an equivalent combination of experience, education, and training
6+ years of regulatory program experience
Knowledgeable in federal, state and third-party regulatory requirements
Epic regulatory reporting development experience, including knowledge of dashboards, reports and exports
Demonstrated ability to communicate the big picture or vision to everyone consistently
Demonstrated ability to negotiate and resolve challenges
Ability to create roadmap of outcomes across projects, set realistic goals and timelines
Demonstrated ability to work with multiple stakeholders and navigate diverse perspectives
Ability to foster work culture and relationships among project teams to sustain program outcomes over the long-term
2+ years leading regulatory reporting and submissions programs at large healthcare system
This position requires remote work. In addition to adhering to all Fairview policies, guidelines, procedures, the Fairview Commitments, and the Code of Conduct, it is the expectation the following requirements of the remote work policy will be met, including but not limited to:
Remote workspace that is clean, safe, and professional.
Maintains an internet connection consistent with Fairview standards at remote workspace.
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.
Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.
Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership ...with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.