CMS Regulatory Specialist, Health Data Platforms - Product Manager

Company Description

We believe in the power of ingenuity to build a positive human future. 

As strategies, technologies, and innovation collide, we create opportunity from complexity.

Our diverse teams of experts combine innovative thinking and breakthrough technologies to progress further, faster. Our clients adapt and transform, and together we achieve enduring results.

We are over 4,000 strategists, innovators, designers, consultants, digital experts, scientists, engineers, and technologists. And we have deep expertise in consumer and manufacturing, defence and security, energy and utilities, financial services, government and public services, health and life sciences, and transport. 

Our teams operate globally from offices across the UK, Ireland, US, Nordics, and Netherlands.

PA. Bringing Ingenuity to Life

Job Description

The Health Data Platforms team at PA Consulting is a leading provider of managed software services for healthcare quality measurement and reporting. Our Health Data Platforms team is dedicated to improving healthcare outcomes through innovative technology solutions. We are seeking a highly skilled CMS Regulatory Specialist to join our team and ensure compliance with Medicare regulations while driving the development of our software products. By applying ingenuity to the building of data platforms for the clinical and biopharmaceutical community, PA aspires to change the course of care across the medical spectrum.

Job Summary: The CMS Regulatory Specialist will play a critical role in ensuring our software services comply with CMS (Centers for Medicare & Medicaid Services) regulations as well as quality initiatives from inside and outside government agencies. This individual will work closely with our product development team as a Product Manager, guiding the creation and enhancement of our healthcare quality measurement and reporting solutions. The ideal candidate will have a strong background in CMS regulations and experience in product ownership within a software development environment. The role will require extensive client interaction and provide opportunities to shape client investments in quality measurement and improvement beyond what is required by current programs.

Key Responsibilities:

• Monitor and interpret CMS regulations and guidelines to ensure compliance across all software products.
• Act as the primary point of contact for CMS-related inquiries and audits.
• Collaborate with cross-functional teams, including product development, quality assurance, and customer support, to ensure regulatory requirements are met.
• Serve as a Product Owner for the software development team, defining product vision, roadmap, and requirements.
• Prioritize and manage the product backlog, ensuring alignment with regulatory standards and business goals.
• Conduct regular reviews and updates of software products to maintain compliance with evolving CMS regulations.
• Provide training and support to internal teams on CMS regulatory requirements and best practices.
• Stay current with industry trends and changes in CMS regulations to proactively address potential impacts on our products.

Qualifications

Qualifications:

• Bachelor's degree in policy, regulatory affairs, information technology, or a related field.
• 5 years of experience in software product management, preferably with a focus on healthcare quality measurement and reporting.
• Proven experience as a Product Owner in a software development environment.
• Understanding of quality measurement, and of CMS quality reporting programs such as MIPS, MACRA, and HEDIS. Experience with the regulatory expectations and requirements around these programs.
• Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams.
• Detail-oriented with strong analytical and problem-solving abilities.
• Ability to manage multiple projects and priorities in a fast-paced environment.
• Certification in regulatory affairs (e.g., RAC) or product management (e.g., CSPO) is a plus.

Additional Information

Flexible Hybrid Working Schedule (Boston)

Benefits package at PA  

• Group medical insurance  
• Health Savings Account with company match  
• Teladoc and informed Nurse line resources  
• Long term care plan  
• Group dental insurance  
• Vision plan  
• 401(k) Savings Plan with company profit sharing contribution  
• Commuter and Parking tax-savings benefit  
• 15 days paid vacation days with the opportunity to buy five additional days  
• 10 paid Holidays plus 10 paid sick days  
• Company and Voluntary income protection benefits  
• Gym and health incentive reimbursement  
• Pet and legal insurance Plans  
• Employee Assistance Plan  
• Annual performance-based bonus  

In compliance with Colorado’s, New York & Massachusetts's Equal Pay Transparency Act, PA is required to provide a reasonable salary range for this role.  This salary range is specific to the State of Massachusetts and is commensurate with experience, market data, applicant skills, internal equity and/or degrees/certifications. 

Salary Range: Low: $ 100,000 - High: $140,000

We believe that diversity makes us a stronger firm and look to employ people with different ideas, styles and skillsets. This diversity stimulates a rich, creative environment – one in which our people develop, and our clients enjoy enduring results. We’re committed to recruiting, promoting and rewarding our people solely based on their ability to contribute to PA’s goals, without regard to their sex, race, disability, religion, national origin, ethnicity, sexual orientation, age or marital status.