Job Description

Job Location: Pagosa Springs Medical Center - PAGOSA SPRINGS, CO 81147
Position Type: Part TimeEducation
Level: 4 Year Degree
Salary Range: $32.60 - $50.40 Hourly

Travel Percentage: Negligible
Job Shift: DayAnalyst – Quality & Regulatory Reporting (Hybrid/Remote Eligible)
Department: Compliance and QAPI
Status: Part-Time | 0.5 FTE (20 hours/week average)
Work Arrangement: Hybrid or Fully Remote Eligible (Candidates must have the ability to commute to Pagosa Springs, Colorado, when in-person meetings, trainings, onsite collaboration, or operational needs require onsite presence)
FLSA Status: Non-Exempt
Reports To: Manager: QAPI and Risk
Location: Pagosa Springs Medical Center – Pagosa Springs, Colorado
📊 Position Highlight
Help drive quality improvement and regulatory excellence in a rural healthcare organization—while enjoying the flexibility of a hybrid/remote role.

Position Summary
Pagosa Springs Medical Center (PSMC) is seeking a highly organized and analytical Quality & Regulatory Reporting Analyst to support the organization’s quality improvement, regulatory reporting, and compliance initiatives.
This role is responsible for collecting, analyzing, validating, and submitting required quality and regulatory data while supporting the organization’s Quality Assurance and Performance Improvement (QAPI) program. The Analyst works collaboratively with leadership and departments across the organization to ensure compliance with federal and state reporting requirements and to support data-driven operational improvement.
The ideal candidate has experience with healthcare quality reporting, regulatory programs, performance improvement methodologies, and healthcare data analysis.
Work Arrangement & Schedule
- Part-time | 0.5 FTE (approximately 20 hours/week)
- Hybrid or fully remote position
- Flexible scheduling based on departmental needs and deadlines
- Candidates must have the ability to commute to Pagosa Springs, Colorado, when in-person meetings, trainings, onsite collaboration, or operational needs require onsite presence
- While the role is largely remote, candidates should be comfortable supporting occasional onsite responsibilities
Key Responsibilities
Quality & Regulatory Reporting
- Coordinate and submit required reporting for assigned regulatory and quality programs, including:
- - Medicare Promoting Interoperability
- - MIPS
- - MBQIP
- - HQIP / HCPF reporting
- - Additional assigned reporting programs
- Ensure all reporting deadlines are met accurately and timely
- Maintain current knowledge of federal and state quality reporting requirements
Data Analysis & Performance Improvement
- Collect, validate, analyze, and interpret healthcare quality data
- Monitor trends and communicate findings to leadership and stakeholders
- Support quality improvement and patient safety initiatives through data analysis and reporting
- Assist in identifying opportunities for process improvement and operational efficiencies
Collaboration & Communication
- Work collaboratively with clinical, operational, and leadership teams
- Participate in QAPI and performance improvement meetings as requested
- Communicate regulatory updates and reporting requirements clearly and effectively
Compliance & Documentation
- Validate data integrity and ensure reporting accuracy
- Maintain organized documentation and reporting records
- Support regulatory readiness and survey preparation activities
Professional Development
- Maintain current knowledge of healthcare quality methodologies and reporting standards
- Participate in continuing education and professional development activities related to QAPI and regulatory reporting

Qualifications

Qualifications
Education
- Bachelor’s degree or higher in:
- - Nursing
- - Healthcare Administration
- - Public Health
- - Business Administration
- - Or related field strongly preferred
Experience
- Minimum two (2) years of healthcare experience in quality, performance improvement, or regulatory reporting required
- Experience in:
- - Healthcare informatics
- - Clinical operations
- - Leadership
- - Quality improvement methodologies
- - strongly preferred
Skills & Knowledge
- Strong understanding of:
- - QAPI methodologies
- - Regulatory reporting requirements
- - Patient safety principles
- - Performance improvement processes
- Ability to accurately collect, analyze, and interpret complex healthcare data
- Strong organizational, communication, and critical thinking skills
- High attention to detail and accuracy
Technical Skills
- Proficiency with:
- - Microsoft Office Suite
- - Spreadsheets and reporting tools
- - Healthcare reporting systems and electronic health records
Licensure
- Current RN license, if applicable

Work Environment
- Primarily remote and office-based work environment
- Frequent collaboration with healthcare leaders and departments
- Fast-paced environment with multiple deadlines and competing priorities
- Occasional onsite meetings, trainings, and operational support required
Compensation & Benefits
- Base Compensation Range: $32.60 - $50.40 hourly, based on years of relevant experience. "Relevant experience" means relevant to the employee's responsibilities set forth in the job description as determined by the HR Manager, CAO, applicable department manager/director and applicable senior leader.
- Benefits: Benefits include generous paid time off, separate sick leave, health, dental, vision, life and AD&D insurance, long-term disability and option for short-term disability, and retirement plan with employer contribution.
- Job Type: Part-time
- Anticipated End Date for Posting: May 31, 2026. The deadline may close sooner due to an unanticipated business necessity, such as an incumbent vacating the role earlier than anticipated. You are encouraged to apply well in advance of the deadline.
Pagosa Springs Medical Center is an Equal Opportunity Employer. All qualified applicants will be considered for employment, and we will not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, marital status, or any other characteristic protected by law. Offers of employment are contingent upon successful completion of a pre-employment health and drug screen and background check.
About Pagosa Springs Medical Center
Pagosa Springs Medical Center (PSMC) is a Critical Access Hospital serving Pagosa Springs and Archuleta County in southwest Colorado. Our organization is committed to delivering high-quality, patient-centered care while continuously improving quality, safety, and operational excellence.
Located in Pagosa Springs, Colorado, our community offers a unique mountain lifestyle with access to outdoor recreation and a close-knit environment. Our culture is guided by our **WISER values—Wholeness, Integrity, Stewardship, Excellence, and Respect—**which shape how we care for patients and support one another.
Why Join PSMC
- Flexible hybrid/remote work opportunity
- Meaningful role supporting quality and patient safety initiatives
- Opportunity to work closely with organizational leadership
- Collaborative and mission-driven environment
- Chance to make a measurable impact in rural healthcare
Apply Today
Join a team committed to improving healthcare quality, patient outcomes, and regulatory excellence through data-driven decision-making.