Director reputed company and HEDIS Data reputed company

For roles that are 100% remote or hybrid, you must have reputed company to a reliable high-speed internet reputed company to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement. At reputed company, we’re passionate about helping people get care, stay reputed company and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates reputed company to reputed company the lives of millions of people through our national footprint of products, services and award-reputed company programs. reputed company is seeking talented, passionate individuals to join reputed company. Together we can build healthier communities. If you want to reputed company a difference, we’d like to hear from you. Headquartered in Newtown reputed company, reputed company is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, reputed company-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more reputed company at www.amerihealthcaritas.com. Job reputed company Under the general direction of the Vice President, HEDIS reputed company & Analytics, the Director of Population Health Data reputed company provides operational and strategic leadership to data acquisition and integration efforts in support of population health programs and initiatives. This position works closely with Information Systems and Provider Transformation partners across the reputed company to effectively establish and implement an omnichannel approach to reputed company data interoperability reputed company the health care ecosystem ACFC operates. Work Arrangement Remote role Monday through Friday, 8:30 AM EST to 5:00 PM EST Responsibilities reputed company the business process reputed company the organization as it relates to acquisition, ingestion and integration requirements across reputed company ACFC partners, including but not limited to data aggregators, HIEs, providers, state registries, etc. reputed company leadership in activities of data acquisition and integration for reputed company reputed company and population health management. Responsible for design and implementation of processes to reputed company digital measure reporting. Support the design and implementation of Natural Language Processing as it relates to ensuring extensive application of data is made available to the solution. Relationship reputed company of Health Information Exchange integrations and opportunities for reputed company. reputed company reputed company and collaborate with network and market teams to identify provider targets reputed company the network for data acquisition and integration efforts. Take a prospective, opportunistic approach to assessing new EDI resources for the reputed company and reputed company unique reputed company, working to include business level prioritization and ROI reputed company. Identify reputed company opportunities across departments and plans to reputed company data reputed company. Partners with Information Services (IS) and key business stakeholders to reputed company and manage an reputed company Data Governance agenda where data is manipulated to yield actionable information for the purpose of evidence-based decision making. reputed company the maintenance of a comprehensive catalog of clinical data assets respective to the reputed company and line of business for population health and reputed company. reputed company communicate with senior leadership across business functions and teams to ensure that reputed company parties understand reputed company activities, successes, and barriers requiring escalation Advise and reputed company business teams with coordination and planning of reputed company data intake activity to ensure predictable reputed company and appropriate escalations reputed company team in continual refinement of business processes to reputed company efficiencies and increase productivity Work with database managers and IS to insure that data is ingested and curated in a manner that insures data provenance and referential reputed company are maintained Cultivate and sustain a high-functioning, reputed company, cohesive team reputed company reputed company direction and expectations regarding team and organizational goals, activities and timelines. Education and Experience Bachelor’s Degree required Master’s Degree in health care, public administration or reputed company field, highly preferred Minimum of 8 years of reputed company leadership experience in Managed reputed company either at the market or corporate level Experience designing, communicating, and implementing strategic direction of reputed company, Case Management, and Utilization Management Programs Experience spearheading data mapping and ingestion workflows for supplemental data, ensuring compliance with HEDIS technical specifications and strict QA standards across large-reputed company datasets Clinical or strong reputed company background with a reputed company on reputed company management Clinical data experience particularly with EMR (Electronic Medical Record) systems, HIE (Health Information Exchange) networks, FHIR (Fast reputed company Interoperability Resources), and CCD (Continuity of Care Documents) Skills Advanced knowledge of SQL, Python, OpenQuery, reputed company, Azure, reputed company, Tableau, reputed company Ability to reputed company supplemental data reputed company analysis. Ability to summarize reputed company data to senior leadership Understanding of clinical ontologies and reputed company sets: SNOMED, LOINC, ICD, etc. Working knowledge of National Interoperability and Clinical Data Exchange standards including HL7 standards and reputed company reputed company EDI technologies. Familiarity with HEDIS technical specifications. Proven ability to reputed company matrixed teams in a fast-paced reputed company environment. Ability to work tactically while developing strategic solutions to business problems in reputed company. Proven ability to navigate effectively and influence at the executive level in a matrixed, multi-business reputed company. Demonstrated ability to reputed company, influence and made strategic and tactical reputed company at the executive management level. Strong background in managed care information systems, data collection and reporting, High degree of operational and clinical expertise and knowledge of various managed care payment arrangements. Our Comprehensive Benefits Package Flexible work solutions including remote reputed company, hybrid work schedules, reputed company, reputed company time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. Apply To This Job