- Translate CMS Conditions of Participation, state regulations, and accreditation standards into operational workflows and AI rule sets.
- Maintain compliance rule libraries covering OASIS-E accuracy, HOPE assessment validation, and hospice eligibility documentation.
- Provide clinical validation and SME oversight for AI-driven compliance prompts and quality assist tools.
- Lead discovery sessions with HH&H executives and clinicians to identify compliance needs and workflow gaps.
- Serve as the compliance SME during customer meetings, QBRs, and onsite visits.
- Educate internal teams on HH&H compliance personas and market dynamics.
- Monitor regulatory changes from CMS and MACs to provide product and positioning recommendations.
Project ManagementQuality AssuranceEHR