HCAHPS Compliance Manager

Service Line: Surveys, Research & Analysis

Status: Exempt

OVERALL SHORT DESCRIPTION
Under limited supervision, oversees compliance of survey vendors and participating hospitals with all CAHPS Hospital Survey (HCAHPS) program requirements.

ESSENTIAL FUNCTIONS

1. Tracks survey vendor and hospital participation in HCAHPS across public reporting periods. Monitors open/close lists and cross-references for all participating hospitals.
2. Reviews and disposition Exception Requests, Discrepancy Reports, and Participation Forms.
3. Reviews Quality Assurance Plans (QAPs) for survey vendors and participating hospitals.
4. Participates in on-site visits and other oversight activities.
5. Tracks and monitors identified data and quality issues.
6. Maintains portfolios of survey vendors and self-administering hospitals.
7. Updates relevant sections of the Quality Assurance Guidelines and participates in training activities.
8. Prepares written reports, summaries, and materials to document findings of compliance review activities.
9. Provides technical assistance in response to inquiries from survey vendors and participating hospitals.
10. Performs other project tasks as assigned.

ACCOUNTABILITY
This position is accountable for the timeliness, completeness, accuracy, and quality of all assigned functions, tasks, and work products.

WORK CONDITIONS
Office/Administrative work. In this position, the employee is not exposed to adverse environmental conditions.

PHYSICAL AND MENTAL DEMANDS/COMPETENCIES

1. Ability to sit and use a computer terminal for extended periods of time.

2. Ability to work independently with minimal direction and communicate with team members on a regular basis.

3. Ability to communicate face-to-face and through telecommunications and written correspondence with individuals using the English language.

4. Ability to understand presentation information.

5. Ability to travel by motor vehicle and/or aircraft.

6. Ability to adhere to established company confidentiality policies.

QUALIFICATIONS

1. Master's degree in business, health related field, or other related discipline with a least five to seven years experience in the health care field preferred (or equivalent combination of education and experience).

2. Previous experience with CMS quality measures preferred.

3. Excellent verbal/written communication skills, including formal presentation skills.

4. Proficient with word processing, spreadsheet programs, and database programs (Microsoft Office)

5. Basic knowledge of survey research and design and survey administration practices.

DISCLAIMER
This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts, or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs, or technological developments).

APPLY FOR THIS POSITION.

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