Customer Insights Manager, Home Health/Hospice
New
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Eleos HealthHealth Tech
US, RemoteFull-TimeManager
Salary$120,000-150,000 per year
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Job Details
- Experience
- 5+ years
- Required Skills
- Project ManagementQuality AssuranceEHR
Requirements
- Current clinical licensure (RN, PT, OT, SLP, SW, or equivalent) with direct patient care experience in home health or hospice.
- 5+ years of experience in quality assurance, compliance, or clinical operations leadership.
- Deep working knowledge of CMS Conditions of Participation, OASIS-E, HOPE, PDGM, and hospice documentation standards.
- Hands-on experience with audit preparation, QAPI programs, and corrective action planning.
- Familiarity with major HH&H EHR systems like Homecare Homebase, WellSky, MatrixCare, or Netsmart.
- Strong project management skills with ability to prioritize multiple workstreams.
- Experience with LLM prompt engineering, AI model validation, or data-driven quality improvement.
Responsibilities
- 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.
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