Healthcare Technology Consulting - Regulatory Reporting Lead

Job Family:

Travel Required:

Clearance Required:

Guidehouse’s Health IT Solutions team works with clients to measurably improve their technology outcomes through a mix of IT strategies, improvement in IT operations, and adoption of technology initiatives. By leveraging a deep understanding of health system IT operational best practices supported by data, Guidehouse propels IT operational improvement and technology adoption across departments and service lines at client organizations.

What You Will Do:

Guidehouse is seeking a highly experienced Regulatory Reporting Lead to support our Oracle Health Millennium implementation portfolio. This leader will serve as the primary authority for regulatory, quality, and public health reporting across multiple large-scale EHR transformations, ensuring our clients are compliant, data-ready, and operationally prepared on day one.

This role requires deep mastery of US healthcare regulatory programs and hands-on expertise with Oracle Health Millennium data structures, workflow design, and clinical documentation. The ideal candidate is fluent in CMS measure logic, understands the nuances of discrete data capture at scale, and has led complex reporting conversions or EHR transitions in hospital or health system environments.

You will play a critical advisory role guiding clients through design, data mapping, measure interpretation, and pre/post go-live validation—while also shaping Guidehouse’s internal accelerators, methodologies, and EHR Center of Excellence capabilities.

Key Responsibilities:

Client Delivery & Workstream Leadership

• Lead the Regulatory and Quality Reporting workstream for Oracle Health Millennium engagements, acting as the primary point of accountability for compliance-related deliverables.
• Facilitate advanced workshops and design sessions on measure logic, data element capture, workflow alignment, encounter configuration, and provider attribution.
• Translate complex regulatory requirements into build specifications, test scripts, governance artifacts, and reporting architecture guidance.
• Create and manage regulatory reporting roadmaps, work plans, RACI matrices, dependency logs, and risk mitigation strategies.
• Provide clear, executive-ready communication on status, risks, decisions, and impacts across clinical, revenue cycle, analytics, and compliance domains.

Deep Regulatory & Quality Program Expertise

• Maintain expert fluency in:
  • CMS IQR/OQR, SEP-1, hybrid measures
  • MIPS / Promoting Interoperability
  • State DOH submissions and registries
  • Public health reporting (immunization, syndromic, case reporting, lab feeds)
  • Infection prevention and antimicrobial stewardship

• Interpret measure logic and translate into EHR requirements, identifying:
  • Required data elements
  • Structured documentation needs
  • Inclusion/exclusion rules
  • Attribution and encounter logic
  • Impact on downstream reporting systems

• Evaluate the interplay between regulatory reporting and workflow design, order sets, clinical templates, coding practices, and provider documentation patterns in Oracle Health.

Oracle Health Millennium & Data Architecture Alignment

• Provide authoritative guidance on how Oracle Health Millennium design decisions affect regulatory reporting accuracy, including:
  • Location/build governance
  • Encounter types and service line configuration
  • Provider configuration
  • Clinical content and structured data build
  • CCL logic and event-based extract patterns

• Partner with Guidehouse data architecture teams on:
  • Source-of-truth design
  • ETL/data pipeline mapping
  • Reporting data mart development
  • Terminology alignment (LOINC/SNOMED/ICD/CPT/HCPCS)

• Identify data quality issues early and propose evidence-based remediation.

Testing, Validation, and Quality Assurance

• Define comprehensive testing strategies for regulatory reporting, including:
  • End-to-end validation
  • Historical measure comparison
  • Parallel run methodology
  • Threshold-based data quality validation

• Oversee defect management, triage, impact assessment, and root-cause remediation.
• Ensure clients have pre-go-live controls, audits, and monitoring mechanisms to prevent compliance failures.

Go-Live & Stabilization

• Provide surge on-the-ground support during cutover, command center activities, and early stabilization.
• Build early detection dashboards for data quality risks and missing data patterns.
• Lead structured reviews of post-go-live reporting readiness, measure performance implications, and workflow/data remediation.

Practice Development & Thought Leadership

• Contribute to Guidehouse’s Oracle Health / EHR Center of Excellence through:
  • Methodology refinement
  • Accelerator and tool development
  • Data capture and reporting standardization frameworks
  • Internal knowledge-sharing and training curricula

• Develop thought leadership on regulatory reporting modernization, AI/automation in quality reporting, and next-generation EHR reporting architectures.
• Support business development with subject matter expertise, solution design, and proposal development.

What You Will Need:

• Bachelor’s degree
• 5+ years leadership experience in regulatory/quality reporting, healthcare analytics, clinical quality, or compliance.
• 5+ years hands-on experience with Oracle Health Millennium (or legacy Cerner Millennium) data structures, reporting logic, and/or clinical documentation frameworks.
• Demonstrated experience leading regulatory or quality reporting workstreams during major EHR implementations, conversions, or reporting infrastructure overhauls.
• Deep knowledge of CMS reporting programs (IQR/OQR, Promoting Interoperability, MIPS), public health reporting, and state/federal registry requirements.
• Strong understanding of clinical operations and documentation workflows and how they translate into reporting logic and data quality.
• Fluency in data governance, structured data design, terminology standards, and regulatory documentation standards.
• Strong facilitation, communication, and executive-level presentation skills.
• Willingness to travel as needed.

What Would Be Nice To Have:

• Experience with large-scale multi-facility Oracle Health implementations (clinical, revenue cycle, or full enterprise).
• Familiarity with interoperability standards (HL7, FHIR, C-CDA).
• Experience with downstream analytics/EDW environments (Snowflake, SQL-based warehouses, enterprise reporting).
• Advanced degree (MPH, MHA, MS, MBA) or certification (CPHQ, CPHIMS, CAHIMS, CHC, etc.).