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Validation Operations Director & Acute Care SME
Validation Operations Director & Acute Care SMEHealthcare Management Solutions LLC • Fairmont, WV, US
Validation Operations Director & Acute Care SME

Validation Operations Director & Acute Care SME

Healthcare Management Solutions LLC • Fairmont, WV, US
2 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

The Validation Operations Director is responsible for overseeing the Validation Survey operational processes on all Survey and Technical Assistance contracts. As a subject matter expert (SME) in the area of acute care, this person is responsible for maintaining current fluency on all Centers for Medicare and Medicaid (CMS) Medicare requirements related to acute care and ensuring the HMS staff is aware of revisions to requirements, training required, and how changes to CMS Medicare requirements impacts the operations of HMS survey and technical assistance contracts. The Validation Operations Director also assists in business development by identifying potential contract opportunities and by participating in contract procurement processes during to grow business for HMS.

Responsibilities / Duties :

  • Identifies, interviews, and recommends surveyor candidates for hire. Provides oversight to HMS OSP / State Contract surveyors doing validation surveys. Including completion of periodic performance evaluations, coaching, and counseling as required in conjunction with the HMS Human Resources Department.
  • Assists with onboarding and survey orientation process for newly hired HMS surveyors in collaboration with other Survey Division management.
  • Serves as the technical assistance contact for Validation survey work.
  • Collaborates with the Survey Operations Director, CMS Central Office, CMS Locations, Accrediting Organizations and State Survey Agencies on survey needs. Identifies appropriate team members for survey assignments and ensures surveyors participate in surveys as required.
  • Collaborates with the Coordinator Center (CC), State Contract Managers, and Survey Management Application (SMA) Administrator to ensure the Survey Management Application (SMA) functions in such a way that supports the Validation Survey work.
  • Identifies urgent or critical issues that require guidance or input from the Vice President or other senior leadership.
  • Develops and revises operational procedures as necessary in collaboration with Survey Division management team and submits these to the OSP Project Manager[LR1] for approval.
  • Refers all travel matters to the SCC.
  • Meets regularly with the Vice President to share progress on contract survey requirements and current challenges with assigned tasks.
  • Works closely with the Business Development team on identifying new opportunities and assisting on proposal development as needed.
  • In coordination with the Survey Division Management team, identify surveyor training needs and provides oversight in the development of training courses and criteria.
  • Ensures regular completion and analysis of the survey quality audits.
  • Oversees the Quality Assurance team responsible for the Validation Survey Process and routinely reports issues and proposed solutions / training to the project manager.
  • Participates in meetings as assigned.
  • Contributes to all project deliverables on the cycle assigned by the OSP Project Controller.
  • Provides oversight on the final results of the validation survey process and complaint intake reviews, when applicable.
  • Completes quality assurance reviews on validation surveys and Medicare surveys when appropriate.
  • Other duties as assigned.

Education Experience :

  • Bachelor’s Degree
  • Registered Nurse
  • Experience doing training and project management for CMS or a state agency is preferred
  • Management experience of at least two years
  • Valid RN license
  • Must be able to pass a federal background check
  • Specific Knowledge & Skills :

  • Knowledge of registered nursing laws, rules, and standards of practice, and familiarity with :
  • Licensed dietetics & dietary laws, rules and standards of practice

  • Social work laws, rules and standards of practice
  • Environmental health and protection
  • The state and federal survey process and requirements
  • Knowledge of Medicare / Medicaid provider laws, rules and regulations; dispute resolution; employee training and development; and supervisory principles and techniques.
  • Experience with CMS or State Survey Agency operations including handling sensitive inquiries from government agency representatives.
  • Skill in operation of personal computer and office systems software.
  • Excellent public speaking skills
  • Recent experience creating trainings for large groups of people using adult learning components.
  • Ability to develop business correspondence including but not limited to proposal writing
  • Ability to define problems, collect data, establish facts, and draw valid conclusions; use proper research methods in gathering data; gather, collate, and classify information
  • Must have excellent communication skills and be well organized.
  • EOE STATEMENT : Healthcare Management Solutions, LLC has established an Affirmative Action Plan. HMS is deeply committed to the concept and practices associated with equal opportunity and affirmative action in all aspects of employment. HMS makes clear that all applicants will be treated without regard to race, color, sex, religion, national origin, age, disability, genetic information, sexual orientation, ancestry, marital status, changes in marital status, pregnancy or parenthood, gender, or gender identity or expression, military or veteran status, political affiliation, or any other protected characteristics under applicable law when the reasonable demands of the position(s) do not require distinction on the basis of age, disability, sex, marital status, changes in marital status, pregnancy, or parenthood.

    This company does not tolerate unlawful discrimination in its employment practices. We recognize the value of diversity in our workforce and encourage all qualified candidates to apply. We thank all candidates who choose to apply, however, only those selected for a further interview will be contacted.

    Equal Opportunity Employer / M / F / Vet / Disabled

    HMS is an EEO / AA / E-Verify compliant and drug free workplace employer.

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    Validation Operations Director & Acute Care SME • Fairmont, WV, US

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