Quality Reporting Program Manager

Howard University Hospital Washington DC

Role Summary

As the Quality Reporting Program Manager at Howard University Hospital you will own the integrity of HUHs quality reporting program managing the accurate collection validation and timely submission of quality data to the Centers for Medicare and Medicaid Services (CMS) Leapfrog The Joint Commission and other public reporting bodies. Reporting to the Director of Quality and Strategic Improvement you will partner with clinical leaders abstractors and executive stakeholders to translate performance data into actionable insights and drive measurable improvement on key metrics including mortality sepsis readmissions and star ratings.

If you bring a clinical or quality analytics foundation a fluency with CMS reporting programs and a passion for using data to elevate patient outcomes this is your opportunity to make a meaningful impact at one of the nations most storied academic medical centers.

What Youll Do

• Manage the accurate collection and timely submission of quality data to CMS Leapfrog The Joint Commission and other regulatory and public reporting programs
• Monitor and analyze hospital performance against national benchmarks and publicly reported data; identify opportunities for improvement on key metrics including mortality sepsis readmissions and CMS star ratings
• Develop quality performance dashboards scorecards and reports for executive leadership service lines and quality committees
• Oversee abstraction processes and ensure ongoing adherence to measure specifications
• Conduct internal audits and validation reviews to confirm data accuracy and reporting integrity
• Translate quality data trends into specific prioritized improvement recommendations for clinical and operational leaders
• Maintain working knowledge of CMS Inpatient Quality Reporting (IQR) Hospital Value-Based Purchasing (HVBP) Hospital Readmissions Reduction Program (HRRP) and emerging public reporting requirements
• Promote adherence to the Health Sciences Compliance Program Howard University Code of Ethics Health Sciences Standards of Conduct and HIPAA Privacy requirements
• Maintain strict confidentiality of patients families and staff

Required Qualifications

• Bachelors degree required in Nursing (BSN) Healthcare Administration Public Health Health Informatics or a related field
• Three (3) to five (5) years of clinical or quality analytics experience in an acute care setting with demonstrated experience in hospital quality reporting
• Certified Professional in Healthcare Quality (CPHQ) at hire or obtained within eighteen (18) months of hire
• Working knowledge of CMS Inpatient Quality Reporting (IQR) Hospital Value-Based Purchasing (HVBP) Hospital Readmissions Reduction Program (HRRP) and related public reporting programs
• Proven ability to interpret reporting requirements from CMS and other regulatory agencies
• Demonstrated proficiency with healthcare data analytics and reporting tools
• Proficiency with electronic medical record systems
• Strong project management coordination written and verbal communication skills
• High attention to detail and the ability to translate complex data into clear actionable insights for leadership

What We Offer

• Work-life balance
• Recognition and rewards for professional expertise
• Competitive comprehensive benefit plans including health disability vacation sick leave and 403(b) retirement plan
• Tuition remission at Howard University for you and/or eligible dependent children up to two (2) courses per semester
• A mission-driven environment rooted in over 150 years of excellence service and advocacy for the communities we serve

About Howard University Hospital

Howard University Hospital (HUH) is the nations only teaching hospital located on the campus of a historically Black university. With a legacy dating back to 1862 when it operated as Freedmens Hospital providing care and refuge to those who had been denied it elsewhere HUH has grown into one of the most comprehensive healthcare facilities in the Washington D.C. metropolitan area and is a designated DC Level 1 Trauma Center. Today HUH continues its proud tradition of delivering exemplary patient-centered and culturally responsive care to the community while providing exceptional learning and professional development opportunities for the next generation of healthcare professionals.

Position Details

Pay & Schedule

This is a full-time exempt onsite position based at Howard University Hospital in Washington DC. Salary range: $85000 $100000 annually commensurate with experience and qualifications.

Compliance Statements

Culture of Care: Howard University Hospital supports a Just Culture that promotes accountability learning and patient safety.

Equal Opportunity Employer: Howard University Hospital is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race color religion sex national origin age disability veteran status sexual orientation gender identity or any other status protected by applicable law.

Reasonable Accommodation: Howard University Hospital is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state and local laws. If you require an accommodation during the application or interview process please contact the Human Resources Department at .

Pay Transparency: Salary ranges listed in job postings reflect the expected compensation range for the position and are provided in accordance with applicable pay transparency laws. Final compensation is determined based on experience education internal equity and other relevant factors.

Disclaimer: The above statements describe the general nature and level of work performed. They are not intended to be an exhaustive list of all duties responsibilities or qualifications associated with the position.