[Hiring] Senior Regulatory Quality Program Manager @City of Hope

Role Description

The Senior Regulatory Quality Program Manager is responsible for ensuring the organization complies with regulatory requirements through quality performance measurement, data integrity, and EHR-enabled reporting programs. This position will support enterprise regulatory quality programs, including development and implementation of EHR-aligned workflows, data capture processes, and performance measurement frameworks. Responsible for staying up to date with federal and state regulatory requirements and translating requirements into quality measure specifications, reporting logic, and data capture workflows within the EHR and analytics platforms. This position provides the connection between healthcare clinical federal and state regulatory programs, EHR systems, data structures, and regulatory quality performance outcomes.

The Senior Regulatory Quality Program Manager is responsible for leading and coordinating enterprise-level programs that support regulatory compliance, quality performance reporting, regulatory measurement, and EHR-enabled compliance programs across City of Hope. This role operates in close partnership with executive leadership to support enterprise-wide regulatory strategy, program execution, and performance oversight.

As a successful candidate, you will:

• Regulatory Quality Metrics, Data, and Program Execution:
  • Serve as a subject matter expert in healthcare regulatory programs, including CMS quality reporting and interoperability requirements, with a primary focus on quality performance measurement and data integrity.
  • Monitor evolving federal and state regulatory requirements and translate these into regulatory measure specifications, reporting logic, and EHR-aligned data capture workflows.
  • Coordinate the planning, implementation, and execution of regulatory programs (e.g., MIPS, eCQMs, registry-based submissions), ensuring accurate, timely, and compliant reporting.
  • Evaluate the operational and financial impact of regulatory performance and support optimization of data capture, documentation, and reporting processes.
  • Partner with Quality Analytics, Clinical Operations, and Information Technology teams to align EHR workflows, data structures, and report outputs with regulatory requirements.
  • Provide guidance and education to stakeholders on measure definitions, documentation standards, and regulatory program expectations.
  • Ensure measurable outcomes through consistent tracking of performance metrics, reporting deliverables, and program milestones.
• Quality Performance Measurement, Validation, and Improvement:
  • Lead ongoing evaluation of regulatory quality measure performance, including data completeness, accuracy, and alignment between clinical workflows and reporting requirements.
  • Validate measure logic, including numerator/denominator integrity, inclusion/exclusion criteria, and data mapping across EHR and reporting systems.
  • Analyze complex performance data to identify gaps, variation, and opportunities for improvement, and recommend EHR build changes, workflow modifications, and documentation enhancements to improve measure performance and reporting accuracy.
  • Coordinate data collection and abstraction activities across assigned resources to support regulatory submissions, including prioritization of work, issue resolution, and alignment to measure specifications and timelines.
  • Collaborate with clinical, operational, and analytics stakeholders to resolve discrepancies and ensure consistency in reported data.
  • Develop and maintain documentation of regulatory measure logic, data definitions, workflows, and reporting processes to support validation, auditability, and sustainable program execution.
  • Support clinical leadership in operationalizing regulatory quality programs and performance improvement initiatives aligned with organizational goals.
• Follow established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace code of Conduct and Compliance Plan.
• Practice a high level of integrity and honesty in maintaining confidentiality.
• Perform other related duties as assigned or requested.

Qualifications

• Bachelor’s degree in healthcare, information systems, business or related field.
• Seven years of relevant experience in healthcare regulatory programs, quality analytics, clinical informatics, or program management within a healthcare environment.
• Demonstrated experience working with regulatory quality reporting, EHR-based data capture, and cross-functional program coordination required.

Requirements

• City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
• City of Hope is an equal opportunity employer.

Benefits

• To learn more about our Comprehensive Benefits, please CLICK HERE .