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

Benefits: Caring For Your Family and Your Career

Medical Dental Vision plans

Adoption Fertility and Surrogacy Reimbursement up to $10000

Paid Time Off and Sick Leave

Paid Parental & Family Caregiver Leave

Emergency Backup Care

Long-Term Short-Term Disability and Critical Illness plans

Life Insurance

401k/403B with Employer Match

Tuition Assistance $5250/year and discounted educational opportunities through Guild Education

Student Debt Pay Down $10000

Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.

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:

Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.