When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Reporting to the Transplant QAPI & Regulatory Manager, the Quality Assurance Performance Improvement (QAPI) Supervisor supports the Transplant Program in maintaining compliance with Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and Organ Procurement and Transplantation Network (OPTN) requirements. This role partners with multidisciplinary teams across transplant programs to lead, coordinate, and operationalize a comprehensive, data-driven QAPI program focused on patient safety, regulatory compliance, and continuous performance improvement.Job Description:
Working with Co- Medical Directors of the QAPI committee - prepare meeting agenda, maintain meeting minute, coordinate follow-up/action items, prepare annual Hospital Presentation. Maintain knowledge of CMS QAPI requirements, coordinate implementation of changes. Provide data on key indicators as determined by Committee to identify areas for improvement. Collaborate with team leader improvement project to provide data, suggest methods for analysis, prepare presentations. Maintain log of activity for CMS survey. Centralize and improve compliance by serving as liaison with all donation and transplant-related regulatory agencies, including CMS, UNOS, JCAHO, and others. Provides documentation and assistance for all regulatory audits (on-site or desk audits). Assist in the preparation and ongoing monitoring of action plans in response to regulatory surveys. Develop and manage Transplant Center's work plan to achieve constant readiness for regulatory site visits and surveys. Coordinate patient and Transplant Center information and data submissions to various regulatory agencies as required. Design and deliver education for all Transplant Center staff on compliance with new and revised guidelines and regulations. In collaboration with transplantation leadership, manages the development and monitors implementation and maintenance of transplant policies and protocols. Active participant in root cause analysis of sentinel events that occur within the Transplant Program. Communicate events and findings with Transplant Institute leadership and appropriate staff. Work with Contracting on the completion of the UNOS and various RFIs for Insurers. Work collaboratively with the database manager on data collection improvement projectsPay Range:
$72,800.00 USD - $104,000.00 USDThe pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/DisabledSkills Required
- Experience in quality assurance and performance improvement in healthcare
- Knowledge of CMS and OPTN regulations
- Strong data analysis skills
- Experience with regulatory compliance audits
What We Do
Beth Israel Lahey Health is a new, integrated system providing patients with better care wherever they are. Care informed by world-class research and education. We are doctors and nurses, technicians and social workers, innovators and educators, and so many others. All with a shared vision for what health care can and should be
