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Company

AmeriHealth Caritas Health PlanSee more

addressAddressNewtown Square, PA
type Form of workFull-Time
CategoryInformation Technology

Job description

Looking for a dynamic, self-aware healthcare IS Leader with a passion for analyzing data and who thrives on telling a "data" story. Do you enjoy taking teams beyond their comfort zones, mentoring, and coaching them to the next level?

The Manager EDWH reports to Director for EDWH, expanding enterprise data stores and works closely with senior management and all levels of staff throughout the organization to lead the transformation of clinical, operational, and financial data into information and insight to support ACFC strategic decision-making. You will actively participate in the development of analytics strategy planning and support data-related policies, procedures and processes are in place or identified with DG/DQ teams to address long term complex business needs. Typically, this situation requires careful analysis and a defined short-term solution, so the Role needs to solve immediate issue and contribute with long term solve. This role ensures that long-term solution delivery methodologies are followed and that these methodologies deliver quality, reliability, stability, and completeness of all data-related programs while also meeting ACFC financial objectives and clinical data needs. You will also be responsible for leading and mentoring a team of Business Systems analysts, helping them elevate the ACFC clinical analytic capabilities.

Responsibilities:

  • Understand organizational business requirements for data and information to support business strategy and objectives.
  • Lead design sessions in prototyping new data solutions and KPI dashboards in collaboration with business users.
  • Review and analyze the effectiveness and efficiency of existing data source systems and develop strategies for improving or further leveraging these systems.
  • Collaborate with Enterprise Data Office Management in the planning, development, and deployment of new data solutions, enhancements to existing data solutions and dashboards.
  • Collaborate with Enterprise Data Office Management to strategic planning activities for the information data system landscape and participate in development of future-state architectures, strategies and roadmaps for big data and related applications. This will provide direction for the ACFC data, for business stakeholders and will lead to simplification of the data architecture.
  • Function as a senior-level advisor and business analyst for enterprise scale initiatives on topics related to data and analytics.
  • Serve as the data and analytics Subject Matter Expert in support of clinical initiatives.
  • Collaborate with both Enterprise Data Office Management and business owners to turn data into actionable business insights using self-service analytics and reporting tools.
  • Demonstrate forward thinking and plans for potential roadblocks; comprehends bigger picture of the business strategy.
  • Possess a demonstrated ability to understand and interpret complex data and apply that knowledge to develop and recommend strategic initiatives decisions.
  • Participate in ACFC Data Governance to ensure the adoption and promotion of ACFC Governance program.

Qualifications / Education:
  • A Bachelor's degree or equivalent experience in the Data Management/Operations field. Master's degree is preferred.
  • A people leader with minimum of 5-7 years of supervisory/management experience.
  • Minimum five (5) years' experience with health care organizations, particularly in the MCO setting.
  • Experience driving large-scale projects for at least 3-5 years.
  • Knowledge of managed care data including, but are not limited to, claims/encounter, member/eligibility, providers, pharmacy, lab results, ADT-CCDA, etc.
  • Experience in analysis, interpretation and reporting using medical or administrative data sets.
  • Experience using varied statistical methods.
  • Expert critical thinking and problem-solving skills.
  • Superior communication, presentation and influencing skills.
  • Advanced technical skills and have some working knowledge with SQL, Oracle, DataStage ETL or similar technologies.
  • Extensive knowledge of the managed care industry and strong understanding of basic data modeling or data relationship concepts in data warehousing.
  • Extensive healthcare data knowledge and their inter-relationships.
  • Experience partnering with Clinical Services, Care Management, or other related area of health care focus.
  • Strong organization, time management and project management skills and multi-tasking abilities.
  • Experience preparing executive level reports and presentations.
  • Prior experience in Government Health Programs e.g., Medicare/Medicaid.
  • Experience with HEDIS and standard health care technical guidelines.
Refer code: 3522503. AmeriHealth Caritas Health Plan - The previous day - 2023-03-31 00:02

AmeriHealth Caritas Health Plan

Newtown Square, PA
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