Open position

Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Under the general supervision of the Director of Health Data Operations, the Manager, Health Data Operations is responsible for assuring that BILHPN’s Provider, Payer, and Referral data is accurate and reportable. Manager, Health Data Operations is responsible for also assuring that BILHPN’s Provider, Payer, and Referral Data is reported correctly based on contractual guidelines and integrated correctly in the population health vendor tool(s). Confirms data is accurate for those responsible for reporting on healthcare trends, contract performance, clinical performance, and intervention programs. Maintains and supports the BILHPN Provider Enrollment database, MD Staff, which will be used for reporting any and all provider data internally and externally. Defines roles and responsibilities related to data governance and ensures clear accountability for stewardship of the company’s principal data by creating policies and procedures that can be implemented throughout BILHPN. Is central in building the relationship between BILHPN Data Stewards, Analysts, and Vendors to establish and govern an enterprise data governance implementation roadmap. Works with vendors, internal and external resources to resolve system-based data issues and contractual requests. Understands data complexity and can translate data requirements among these parties. Serves as a liaison between the external constituencies and BILHPN leadership. Assists the BILHPN Data Steward and Data Analysts in developing solutions to analyze the populations' most pressing needs with the use of best practices for coding to make these processes more efficient. Serves as a data representative in IT, population health, and contracting meetings to ensure that all the data warehouse needs are supported and understood by the organization. Makes sure the BILHPN Data Stewards and Data Analysts have access to the appropriate data documentation. Utilizes technology to best support decision making within the organization. The Manager, Health Data Operations oversees the management of incoming payer data and ensures the payer data gets sent to the appropriate parties. The Manager, Health Data Operations functions as the Subject Matter Expert (SME) on the specified data application(s) and serves as a support contact for the BILHPN Data Analysts and Data Stewards. Assures the integrity of data. Works directly with payers, data vendor(s), BILH IT to solve any data related issues and makes appropriate recommendations to provide clean and up to date data. This position is responsible for a full range of activities which ensure the operational effectiveness and excellence of all the BILHPN data warehouses.

Job Description:

Essential Duties & Responsibilities including but not limited to:

1. Builds relationships and works directly with data vendor(s) to ensure data integration, accuracy, and data integrity. 2. Serves as a liaison between the BILHPN Leadership, BILHPN Staff, and internal and external vendors. 3. Maintains and supports the BILHPN Provider Enrollment database, MD Staff which will be used for reporting any and all provider data. 4. Works closely with BILHPN’s Provider Enrollment Team to ensure the team is accurately documenting provider data, within the system. 5. Works closely with BILHPN’s Provider Enrollment Team to ensure the team is completing the Data Quality Checks, sent by Health Data Operations team on a routine schedule, to ensure the data integrity within MD Staff. 6. Implements policies and guidelines for data management and data quality. 7. Develops standard operating procedures for data handling and archiving. 8. Collaborates with other players to improve the effectiveness of the database tools and services. 9. Communicates with BILHPN Leadership and Data Analysts about any data related topics.

10. Documents and maintains all fields and files coming in and out of BILHPN related to the Payers. 11. Responsible for the overall success of data testing, including results verification and monthly publish/freeze sign-offs. 12. Manages specific application quality assurance and activities including the tracking of issue reports and change requests and ensuring their timely resolution. 13. Serves as a provider/risk data custodian and attends data vendor(s)’meetings. 14. Assures proper data documentation exists, is up to date and available to share with others on a periodic basis. 15. Manages the data projects list and assures BILHPN Leaderships agreement with the prioritization. 16. Conducts project prioritization meetings. 17. Develops solutions to create automated file load and reporting. 18. Supports ACO processes and performs tasks related to ACO data requirements (e.g. RPO). 19. Serves as a data representative in IT, population health and contracting meetings to ensure that the data warehouse needs are supported and understood by the organization. 20. Has an in-depth understanding of all the workflows and processes that impact data warehouse. 21. Assures the data processes are conducted in the most efficient way (e.g. automation, stored procedures, ssis), recommends data efficiency improvements and work around solutions to allow others to analyze data in a timely and accurate manner. 22. Is responsible for monitoring, ensuring appropriate and seamless migration of new data quality improvements. 23. Provides technical oversight for integrating new technology or new initiatives into data standards and structures. 24. Assures general training documentation is available. 25. Works with BILHPN Analysts and Data Stewards to assure appropriate colleagues have access to the warehouse and make the standard training information available to the new users. 26. Designs alternative reporting/data extract solutions for ad hoc requests. 27. Maintains a project grid for all requests for the team, which will include timelines and priority. 28. Establishes and governs an enterprise data governance implementation roadmap

Minimum Qualifications:

Education: TBD

Licensure, Certification & Registration: None

Experience: A minimum of 5-8 years of work experience with database and project management. Healthcare industry knowledge a plus either through a prior Health System or a Payer work Proficiency with SQL, Tableau, Relational Databases and MS Office Products; Understanding of relational databases, data governance, data stewardship, and database management preferred experience.

Skills, Knowledge & Abilities: Strong written and verbal communication skills, project management skills, computer skills, and database skills. Strong interpersonal skills required to communicate with colleagues at all levels and build consensus. Strong problem solving abilities and analytical skills to ensure end-user needs are met. Excellent problem solving and technical skills.

Preferred Qualifications & Skills:

Advanced knowledge of databases and process flow at the operational level. Ability to utilize critical thinking and good judgement in performance of tasks. Possesses good organizational skills and the ability to multitask and prioritize daily assignments to ensure smooth work flow.

Dept/Unit Specific Skills:

Key Business Relationships: (Title and Purpose)

1 BILHPN Leadership Provides in-depth analysis of current data needs and potential process improvements. Assists in the assessment and implementation of data management tools.

2 BILHPN Performance Analysts Assists in the development of solutions that helps analyze healthcare trends.

3 External Data Vendor(s) Communicates/Facilities the creation and maintenance of contractual provider reports for all of BILHPN.

Physical Requirements & Environment:

Mental and Visual Attention

a) x The position requires basic mental and visual attention much or all of the time

b) The position requires periods of concentrated mental and visual attention.

c) The position requires a high degree of mental and visual concentration.

Physical Exertion

Weight

d) Nature of work requires lifting or moving light weight (up to 20 pounds).

e) Nature of work requires lifting or moving medium weight (over 20 and up to 75 pounds).

f) Nature of work requires lifting or moving heavy weight (over 75 pounds).

Dexterity

g) x Flow of work and character of duties require average manual coordination.

h) Flow of work and character of duties require above average manual coordination.

i) Flow of work and character of duties require high manual coordination.

Range of Motion

j) x Duties require average range of motion.

k) Duties require above average range of motion.

l) Duties require high range of motion.

Physical Conditions

m) Performance of duties allows for variation in positioning and tasks.

n) x Performance of duties requires remaining in position for prolonged periods of time.

Repetitive Motion

o) x Assignments require occasional repetitive motion.

p) Assignments require frequent repetitive motion.

q) Assignments require constant repetitive motion.

Working Conditions

r) x Working conditions include minimal exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.

s) Working conditions include occasional exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.

t) Working conditions include continuous exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.

Exposure to Hazardous Materials

u) x Performance of duties generally does not involve exposure to hazardous materials.

v) Performance of duties occasionally involves exposure to hazardous materials.

w) Performance of duties frequently involves exposure to hazardous materials.

Patient Care Conditions (select ALL that are applicable)

x) Position entails exposure to blood and body fluids, standard precautions must be used.

y) Assignments include transporting, transfer and positioning of patients.

z) Incumbent must be continuously prepared to prevent a patient fall.

Sensory Requirements (select ALL that are applicable)

aa) Performance of duties requires the ability to discern and identify colors

bb) Performance of duties requires the ability to discern sharp from dull and hot from cold

cc) Performance of duties requires the ability to hear soft and loud noises

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled