IT HEDIS & Analytics Manager

City/State

Work Shift

Overview:

• Bachelors degree in Information Technology Computer Science Data Management Healthcare Administration or a related field (Preferred)

• 7 years relevant experience may be accepted in lieu of degree

• No specific certification or licensure requirements

• Seven or more years of experience in healthcare data payer technology analytics data warehousing quality measurement HEDIS operations or related IT functions (required )
• Three or more years of leadership experience managing ETL data engineering technical operations analytics production support or similar teams including direct oversight of staff (required)
• Experience supporting HEDIS data processing reporting validation audits quality-measurement platforms or HEDIS engine implementation replacement migration or parallel-validation activities(Required)
• Strong knowledge of payer enrollment claims encounters pharmacy provider laboratory clinical supplemental data ETL SQL data warehouses Databricks file-based integrations APIs testing reconciliation and production support.
• Experience working with HEDIS-related vendors or platforms such as Arcadia Cotiviti Inovalon or comparable systems with the ability to communicate technical issues clearly to business vendor audit project and executive stakeholders.(preferred)
• Experience supporting an NCQA HEDIS compliance audit.(preferred)
• Knowledge of ECDS digital HEDIS measures FHIR HIE integration and clinical-data exchange

Keywords: LinkedIn HEDIS Cotiviti InnovalanArcadia

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission to improve health every day this is a tobacco-free environment.

For positions that are available as remote work Sentara Health employs associates in the following states:

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