Healthcare Technology Consulting Regulatory Reporting Lead

Job Family:

Travel Required:

Clearance Required:

Guidehouses Health IT Solutions team works with clients to measurably improve their technology outcomes through a mix of IT strategies improvement in IT operations and adoption of technology initiatives. By leveraging a deep understanding of health system IT operational best practices supported by data Guidehouse propels IT operational improvement and technology adoption across departments and service lines at client organizations.

What You Will Do:

Guidehouse is seeking a highly experienced Regulatory Reporting Lead to support our Oracle Health Millennium implementation portfolio. This leader will serve as the primary authority for regulatory quality and public health reporting across multiple large-scale EHR transformations ensuring our clients are compliant data-ready and operationally prepared on day one.

This role requires deep mastery of US healthcare regulatory programs and hands-on expertise with Oracle Health Millennium data structures workflow design and clinical documentation. The ideal candidate is fluent in CMS measure logic understands the nuances of discrete data capture at scale and has led complex reporting conversions or EHR transitions in hospital or health system environments.

You will play a critical advisory role guiding clients through design data mapping measure interpretation and pre/post go-live validationwhile also shaping Guidehouses internal accelerators methodologies and EHR Center of Excellence capabilities.

Key Responsibilities:

Client Delivery & Workstream Leadership

• Lead the Regulatory and Quality Reporting workstream for Oracle Health Millennium engagements acting as the primary point of accountability for compliance-related deliverables.
• Facilitate advanced workshops and design sessions on measure logic data element capture workflow alignment encounter configuration and provider attribution.
• Translate complex regulatory requirements into build specifications test scripts governance artifacts and reporting architecture guidance.
• Create and manage regulatory reporting roadmaps work plans RACI matrices dependency logs and risk mitigation strategies.
• Provide clear executive-ready communication on status risks decisions and impacts across clinical revenue cycle analytics and compliance domains.

Deep Regulatory & Quality Program Expertise

• Maintain expert fluency in:
  • CMS IQR/OQR SEP-1 hybrid measures
  • MIPS / Promoting Interoperability
  • State DOH submissions and registries
  • Public health reporting (immunization syndromic case reporting lab feeds)
  • Infection prevention and antimicrobial stewardship

• Interpret measure logic and translate into EHR requirements identifying:
  • Required data elements
  • Structured documentation needs
  • Inclusion/exclusion rules
  • Attribution and encounter logic
  • Impact on downstream reporting systems

• Evaluate the interplay between regulatory reporting and workflow design order sets clinical templates coding practices and provider documentation patterns in Oracle Health.

Oracle Health Millennium & Data Architecture Alignment

• Provide authoritative guidance on how Oracle Health Millennium design decisions affect regulatory reporting accuracy including:
  • Location/build governance
  • Encounter types and service line configuration
  • Provider configuration
  • Clinical content and structured data build
  • CCL logic and event-based extract patterns

• Partner with Guidehouse data architecture teams on:
  • Source-of-truth design
  • ETL/data pipeline mapping
  • Reporting data mart development
  • Terminology alignment (LOINC/SNOMED/ICD/CPT/HCPCS)

• Identify data quality issues early and propose evidence-based remediation.

Testing Validation and Quality Assurance

• Define comprehensive testing strategies for regulatory reporting including:
  • End-to-end validation
  • Historical measure comparison
  • Parallel run methodology
  • Threshold-based data quality validation

• Oversee defect management triage impact assessment and root-cause remediation.
• Ensure clients have pre-go-live controls audits and monitoring mechanisms to prevent compliance failures.

Go-Live & Stabilization

• Provide surge on-the-ground support during cutover command center activities and early stabilization.
• Build early detection dashboards for data quality risks and missing data patterns.
• Lead structured reviews of post-go-live reporting readiness measure performance implications and workflow/data remediation.

Practice Development & Thought Leadership

• Contribute to Guidehouses Oracle Health / EHR Center of Excellence through:
  • Methodology refinement
  • Accelerator and tool development
  • Data capture and reporting standardization frameworks
  • Internal knowledge-sharing and training curricula

• Develop thought leadership on regulatory reporting modernization AI/automation in quality reporting and next-generation EHR reporting architectures.
• Support business development with subject matter expertise solution design and proposal development.

What You Will Need:

• Bachelors degree
• 5 years leadership experience in regulatory/quality reporting healthcare analytics clinical quality or compliance.
• 5 years hands-on experience with Oracle Health Millennium (or legacy Cerner Millennium) data structures reporting logic and/or clinical documentation frameworks.
• Demonstrated experience leading regulatory or quality reporting workstreams during major EHR implementations conversions or reporting infrastructure overhauls.
• Deep knowledge of CMS reporting programs (IQR/OQR Promoting Interoperability MIPS) public health reporting and state/federal registry requirements.
• Strong understanding of clinical operations and documentation workflows and how they translate into reporting logic and data quality.
• Fluency in data governance structured data design terminology standards and regulatory documentation standards.
• Strong facilitation communication and executive-level presentation skills.
• Willingness to travel as needed.

What Would Be Nice To Have:

• Experience with large-scale multi-facility Oracle Health implementations (clinical revenue cycle or full enterprise).
• Familiarity with interoperability standards (HL7 FHIR C-CDA).
• Experience with downstream analytics/EDW environments (Snowflake SQL-based warehouses enterprise reporting).
• Advanced degree (MPH MHA MS MBA) or certification (CPHQ CPHIMS CAHIMS CHC etc.).

What We Offer:

Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical Rx Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave and Adoption Assistance

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Student Loan PayDown

• Tuition Reimbursement Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

• Mobility Stipend

About Guidehouse

Guidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @ or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.