Job Details

Healthcare Consultant

Serves as the primary consultant for assigned healthcare clients, overseeing both client relationships and performance outcomes. This role is responsible for ensuring accurate, timely, and compliant reporting across multiple quality payment programs, including the Merit-based Incentive Payment System (MIPS) and other payer contracts. Functions as a subject matter expert and consultant in value-based care programs, guiding clients through complex requirements and advising on strategies to achieve optimal results.

Essential Job Functions:

• Act as the primary consultant and account lead for assigned clients/practices, ensuring compliance with mandated reporting requirements and submission timelines.
• Collaborate closely with cross functional teams including other account managers, sales, IT, development, business analyst, and systems integration to align client strategies, ensure seamless execution, and drive performance outcomes.
• Ensure adherence to Qualified Clinical Data Registry (QCDR) guidelines, maintaining full compliance with all regulatory requirements.
• Analyze baseline quality data, identify performance gaps, and recommend improvement strategies to optimize reporting outcomes.
• Lead regular virtual client meetings to review data, address questions, and provide strategic guidance for performance improvement.
• Interpret CMS regulations, MIPS specifications, and program updates; communicate changes clearly to clients and internal stakeholders.
• Provide training and guidance to clients on reporting requirements, program updates, and use of technology/software for data collection and submissions.
• Collaborate with IT team to prepare, validate, and submit data using authorized submission protocols.
• Promote continuous improvement by delivering insights, tools, and recommendations that strengthen client compliance and reporting performance.
• Support clients in leveraging their Electronic Medical Records (EMR) systems to optimize Promoting Interoperability performance. Provide guidance, best practices, and practical tips to improve efficiency.
• Conduct random chart audits and generate reports within client EMRs to validate data accuracy and compliance.
• Assist with interpreting final adjudications and detailed feedback, from quality payment program regulatory agencies, to be shared with all stakeholders in the facility or clinic.

Qualifications:

• Bachelor's degree in healthcare or related field (required)
• 24 years of experience in healthcare quality reporting or a related field
• Strong communication skills (both verbal and written)
• Excellent client facing skills and commitment to providing the highest level of customer satisfaction
• Experience planning, facilitating, and leading group meetings
• Ability to work independently as a self-starter while managing multiple clients
• Effective problem solving skills and critical thinking skills
• Ability to handle confidential materials and information in a professional manner
• Excellent computer skills and proficient in Excel, Word, Outlook

Physical Requirements:

• Ability to sit or stand for long periods of time
• Physical ability to lift and carry 25 lbs. of materials
• Manual dexterity and strength sufficient to enter information via computer keyboard for long periods of time, to write notes and information needed, and to pick up and hold paperwork, supplies and other items.
• Eyesight sufficient to effectively read documents and to accurately view information on a computer monitor
• Speaking and hearing ability sufficient to effectively communicate.
• Eye/hand coordination, hearing and visual acuity necessary for day-to-day tasks

Working Conditions:

• The work environments involve everyday risks or discomforts which will require normal safety precautions typical of an office/clinical setting.

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status, or other non-merit factor.