Product Operations Specialist (Clinical Quality) jobs in United States
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CoreTek Labs ยท 4 hours ago

Product Operations Specialist (Clinical Quality)

CoreTek Labs is seeking a detail-oriented Product Operations Specialist to manage the technical and operational lifecycle of their Clinical Quality products. This role serves as the critical link between client data and regulatory bodies, overseeing implementation, data extraction, troubleshooting, and submissions to CMS and TJC.

Computer Software
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Hiring Manager
Podila Satish
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Responsibilities

Manage Data Lifecycles: Oversee the submission of Inpatient, Outpatient, and Psychiatric data to the CMS warehouse and The Joint Commission (TJC) according to strict daily, weekly, quarterly, and annual deadlines
Submission Cycle Management: Execute multi-week cycle processes: uploading records, analyzing feedback/errors, unlocking for client corrections, and managing final "lockdown" and approvals
Error Resolution & Troubleshooting: Act as Level 2/3 support to investigate upload failures. This involves decrypting files, examining logs, identifying data errors (without editing the client file directly), and coordinating fixes with the client
System Monitoring: Monitor the systems and communication for confirmations to ensure successful processing statistics are reflected in the customer dashboard
Configuration: Configure new and renewing customers within the product, specifically activating collection measures, CMS reporting, and TJC reporting requirements
Implementation Support: Assist clients during the implementation phase by providing IT file specifications and assisting with data file setups
Training & Education: Train customers on the product functionalities. Identify gaps in training materials and assist in updating resources
Contract Review: rigorous review of contracts before they are sent to customers, utilizing the internal sources as the primary "source of truth" to verify accuracy against CRM records
Regulatory Compliance: Participate in CMS Vendor working groups to stay updated on regulatory changes and advocate for clients if CMS erroneously flags missed deadlines
Security: Adhere to strict data security protocols, including blacking out PHI (Protected Health Information) fields when communicating diagnostic data to customers

Qualification

Clinical OperationsCMSTJC SubmissionsHospital Quality MeasuresProcess ImplementationComplex TroubleshootingAttention to DetailCross-functional Collaboration

Required

Citizenship: with Active Clearance
Industry Experience: Deep understanding of Hospital Quality Measures, CMS reporting cycles, and TJC accreditation requirements
Technical Skills: Ability to read and interpret complex data logs and error reports
Technical Skills: Experience with file decryption and text editing tools; ability to troubleshoot raw data files outside of Excel
Technical Skills: Familiarity with file upload tools and server-based data processing
Operational Skills: Strong attention to detail for contract validation and regulatory deadlines
Operational Skills: Ability to work cross-functionally to bridge gaps between sales, technical teams, and the client
Experience managing strict calendars for data submissions

Preferred

Clinical Operations
Process Implementation
complex troubleshooting
CMS and TJC Submissions
Hospital Quality Measures

Company

CoreTek Labs

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CoreTek Labs that specializes in Project Management, Product Engineering, Technology Consulting & Staff Augmentation.

Funding

Current Stage
Growth Stage

Leadership Team

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Pradeep Kanneganti
CEO and Founder
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Company data provided by crunchbase