Quality Measures Manager

Reports to:     Senior Manager, Quality Metrics and Initiatives

Status:           Exempt

Type:              Full-time

Job Summary

Manage STS activities related to performance measure development, maintenance and updates to existing measures, and measure endorsement for use in quality improvement and payment programs. Manage STS activities related to the Center for Medicare and Medicaid Services (CMS) Qualified Clinical Data Registry initiative.

Primary Duties and Responsibilities

• Manage the organization’s performance measure development, maintenance, and endorsement activities in collaboration with the Senior Manager.
• Participate as needed in development of hospital, surgical group, and surgeon-level performance measures for STS National Databases.
• Support activities of the Quality Measurement Task Force and respond to inquiries from surgeon leaders.
• Manage the process of vetting performance measures through relevant quality organizations, such as the National Quality Forum (NQF) and CMS quality payment programs.
• Collaborate with outside analytics center(s) to obtain testing data for measure submission.
• Coordinate review of measure submission forms with physician leaders and statisticians.
• Develop work plans and submit quality measure forms to NQF and CMS.
• Organize, prepare content, and facilitate measure review calls with physician leaders prior to NQF committee meetings.
• Coordinate scheduling for NQF committee meetings with surgeons and analytics center staff to ensure adequate STS representation.
• Collaborate with STS and NQF staff to ensure measures are harmonized and correctly displayed on both organizations’ websites.
• Manage and complete activities necessary for STS to maintain status as a CMS Qualified Clinical Data Registry.
• Ensure compliance with CMS regulations related to consent and reporting of quality metrics for payment programs.
• Participate in weekly mandatory CMS calls and webinars for measure developers.
• Work with data warehouse and analytic centers to ensure measures are properly collected and reported to participants and to CMS.
• Performs other duties as assigned.