Product Operations Specialist (Clinical Quality)

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Role Title: Product Operations Specialist (Clinical Quality)

Location: New York, NY - Remote
Job Type: Contract

Require Clearance OR Who can obtain a clearance

Position Summary

We are seeking a detail-oriented Product Operations Specialist to manage the technical and operational lifecycle of our Clinical Quality products. This role serves as the critical link between client data and regulatory bodies, managing the end-to-end process of implementation, data extraction, complex troubleshooting (L2), and final submission to CMS and TJC.

Key Responsibilities

Technical Operations & Data Submission

Manage Data Lifecycles: Oversee the submission of Inpatient, Outpatient, and Psychiatric data to the CMS warehouse and The Joint Commission (TJC) according to strict daily, weekly, quarterly, and annual deadlines.

Submission Cycle Management: Execute multi-week cycle processes: uploading records, analyzing feedback/errors, unlocking for client corrections, and managing final "lockdown" and approvals.

Error Resolution & Troubleshooting: Act as Level 2/3 support to investigate upload failures. This involves decrypting files, examining logs, identifying data errors (without editing the client file directly), and coordinating fixes with the client.

System Monitoring: Monitor the systems and communication for confirmations to ensure successful processing statistics are reflected in the customer dashboard.

Client Implementation & Onboarding

Configuration: Configure new and renewing customers within the product, specifically activating collection measures, CMS reporting, and TJC reporting requirements.

Implementation Support: Assist clients during the implementation phase by providing IT file specifications and assisting with data file setups.

Training & Education: Train customers on the product functionalities. Identify gaps in training materials and assist in updating resources.

Sales Operations & Compliance

Contract Review: rigorous review of contracts before they are sent to customers, utilizing the internal sources as the primary "source of truth" to verify accuracy against CRM records.

Regulatory Compliance: Participate in CMS Vendor working groups to stay updated on regulatory changes and advocate for clients if CMS erroneously flags missed deadlines.

Security: Adhere to strict data security protocols, including blacking out PHI (Protected Health Information) fields when communicating diagnostic data to customers.

Qualifications & Skills

Industry Experience: Deep understanding of Hospital Quality Measures, CMS reporting cycles, and TJC accreditation requirements.

Technical Skills:

Ability to read and interpret complex data logs and error reports.

Experience with file decryption and text editing tools; ability to troubleshoot raw data files outside of Excel.

Familiarity with file upload tools and server-based data processing.

Operational Skills:

Strong attention to detail for contract validation and regulatory deadlines.

Ability to work cross-functionally to bridge gaps between sales, technical teams, and the client.

Experience managing strict calendars for data submissions.

Thanks & Regards

Prabal Pratap Singh

Phone: ext 116

Edge Global LLC An E-Verify Company

1604 Spring Hill Road, Suite 221

Vienna, VA 22182

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