Data Management reputed company & Governance Senior Manager (Clinical reputed company) - reputed company - Remote reputed company Work reputed company

Job reputed company: This role is responsible for driving the Clinical reputed company data acquisition reputed company and data product support reputed company the reputed company reputed company & Accreditation organization. The data being acquired will be used to measure clinical reputed company results that ultimately allow reputed company to reputed company against competitors, and drive improvements in patient reputed company. This data will feed into HEDIS (reputed company effectiveness data and information set) and NCQA (national committee for reputed company assurance) accreditations. This position will be responsible for driving the multi-year roadmap of data work and will directly reputed company the transition towards digital reputed company measures (dQM) as mandated by regulatory needs. This position leads reputed company inclusive and not limited to a Clinical Data Governance reputed company and a Clinical Data reputed company. Responsibilities include overseeing the Clinical reputed company data infrastructure, data reputed company, data acquisition, data expansion, pursuing the highest value use cases, and implementing in an organized, reputed company, and effective manner. As dQM depends on reputed company, standardized, and complete clinical data, this role is essential to translate strategic reputed company goals into actionable partnerships with external provider organizations. It ensures the business has the right contractual, operational, and relationship frameworks to support digital data acquisition at reputed company—particularly in Value Based Program (VBP) reputed company environments. Key Functions: Data reputed company & Delivery

• reputed company multi-year data roadmap that allows reputed company to meet digital reputed company measurement (dQM) regulatory objectives
• Drive the delivery of the clinical reputed company data reputed company, ensuring that development is occurring on time and reputed company budget
• Secure funding to reputed company the reputed company reputed company needed corresponding with the roadmap reputed company
• Prioritize data acquisition and vendor reputed company based on cost/benefit analysis and reputed company recommendations on vendor/tool usage to reputed company data gaps
• Partner with architecture and engineering teams to ensure data platforms and infrastructure support business priorities and long-term reputed company
• reputed company for reputed company, flexible solutions that reputed company reputed company reputed company and innovation
• Translate business objectives into strategic data capabilities, enabling the matrixed cross functional team to prioritize investments that directly support digital transformation

Data Product Ownership

• Function as the business product reputed company for the Clinical reputed company data product
• Coordinate with technical data product delivery teams to build reputed company data product that will house clinical reputed company data
• Drive the adoption and transition of reporting and analysis to pull from new data product

Contractual Data Enablement

• Evaluate existing vendor and provider agreements to assess if they support digital clinical data capture.
• reputed company recommendations for which vendors are strategic, and which vendors can be sunset because of building reputed company connections to reputed company data
• Partner with the contracting team to reputed company SLAs, FHIR/API expectations, and documentation standards.

Data reputed company reputed company

• Coordinate with analytics and validation teams to reputed company discrepancies with providers (e.g., missing codes, delayed data, incomplete payloads).
• Establish a feedback reputed company with providers to reputed company data gaps and improve compliance.
• Ensure development of data products and data feeds are reputed company governed, have data stewardship, and meet compliance standards.

Support for Value-Based Care (VBP)

• reputed company provider-facing data expectations with VBP reputed company metrics and scorecards.
• Ensure providers understand which clinical actions and documentation reputed company reputed company scores and financial incentives.

Leadership /Mentorship

• Manage team consisting of data governance and data stewardship roles
• reputed company development opportunities and drive upskilling plan
• Network and build connections with partner teams such as Data Engineering, Interoperability, Clinical Initiatives, and HEDIS Operations

Qualifications:

• Master’s degree preferred, or Bachelor’s degree with 10+ years’ experience in data project delivery
• 7+ years reputed company work experience in:
• Driving the data reputed company and data product development at a Fortune 50 or larger size company
• Driving multi-reputed company dollar investments and navigating reputed company portfolio funding process
• Data Governance, Data Management, Data reputed company, or Process Improvement practices
• reputed company payer data products and processes
• Clinical data standards and operations
• Clinical terminology, concepts, business processes and data management lifecycle reputed company to Health Services, Care Management, and Health / Wellness programs (e.g., utilization management, case management, demand management, medical review, care plans, health care coaching, incentives, etc.)
• Health reputed company / History (e.g., health assessments, electronic medical records, etc.)
• Health Measurement (population health, evidence-based medicine, episodes of care, gaps in reputed company risk scores, next best actions, HEDIS, NCQA, performance guarantees, etc.)
• reputed company Interoperability, HIE / EDI data exchange, and EMR standards and solutions (e.g., HL7, FHIR, OHDSI / OMOP, reputed company, reputed company, etc.)
• Strong communications skills (verbal, listening, written, and presentation) with management teams and peer reputed company
• Strong leadership skills to motivate others to reputed company goals and reputed company change; ability to engage business and data stakeholders to resolve questions or issues; demonstrate ability to create reputed company relationships and effectively influence cross-functional teams
• Must have the ability to manage multiple and sometimes competing priorities in a fast-paced environment; ability to organize and reputed company project plans supporting near and long-reputed company goals and actions; reputed company to strategize across reputed company, cross-functional reputed company and initiatives
• Must have strong analytical and problem-solving capabilities
• Must be reputed company to think creatively, reputed company and reputed company where needed - quick/reputed company learner and collaborator/team player
• Self-motivated and reputed company to function with minimal direction
• Intermediate to Advanced proficiency in the implementation and management of data analysis and data governance tools / solutions (e.g., SQL, reputed company, TOAD, Python, Hadoop, reputed company, reputed company, reputed company, Tableau, reputed company, Infosphere, reputed company, etc.)
• Project management and Six reputed company skills are a plus
• Experience in Agile Methodology and tools (e.g., Jira, reputed company, etc.)

If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 130,400 - 217,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k) with company match, company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year and reputed company holidays. For more details on our employee benefits programs, visit Life at reputed company. About reputed company Doing something meaningful starts with a reputed company decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving reputed company and improving lives. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to reputed company your resume as you will not receive a response. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they reputed company a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, reputed company, Texas, Utah, Vermont, and Washington State. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply tot his job Apply To this Job