Prog Mgr - Data & Interoperability

Job Details

Job Number:
82831

Location:
Tacoma, WA

Entity:
MultiCare Health System

Category:
Quality Management

Department:
Admin ACO

Specialty:
Not Applicable

Employment Type:
Full-Time Regular

Shift:
Day

Schedule:
Monday - Friday

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Position Summary:
The Program Manager performs advanced support and analytical work in managing, monitoring, coordinating, facilitating and tracking the program's foundational data initiatives and activities that includes, but is not limited to: enrollment, claims, member lives, and provider data sets. The incumbent works closely with payors to ensure that MultiCare Connected Care's (MCC's) enrollment and attribution are correct.
This role acts as the Enterprise Data Steward to the Membership and Claims data as well as a key consumer to the Enterprise master provider data feeds. This position has responsibilities in data interoperability, quality assurance and user acceptance testing, process improvement, departmental and administrative policies and procedures, and communication.
The incumbent works closely with information service and technology and the analytics and medical actuary teams to ensure the highest quality and most accurate enrollment and claims data is received. The incumbent is also required to work across multiple teams and committees to manage activities; maintain implementation plan(s); communicate team decisions; resolve issues and workflow changes and prepare briefings as needed to support the successful performance of the associated program.
This position requires technical skills, organization, keen attention to detail, excellent written and verbal communications, meeting-management skills, discretion and confidentiality when dealing with sensitive and privileged information, and development of materials in support of the program.
Work situations are varied and require support expertise to various CIN providers and facilities across WA state, flexibility, adaptability, organization, prioritization, analysis, problem solving, discretion, and leadership. This position also requires strong customer service skills with a wide variety of internal and external customers.

Minimum Requirements:
Four years relevant experience
· Experience with analytical responsibilities, data extraction and formatting reports
· Experience in health care setting
· Experience in customer service
· Project/program coordination experience
· Experience working with and communicating with Senior Leadership, Clinicians, and technical teams
1 year Experience as Domain Data Steward or similar role
5 years Experienced Technical Writer and/or Business Analyst with knowledge of advanced modern data management solutions such as Master Data Management, Data Warehousing, Data Lake, or similar)
At least 3 years' Experience working with Medicare eligibility, Credentialing Source Owners, Provider Directories, and EMRs
Medical group and/or physician group practice business experience (e.g., operations, finance, data analysis) preferred

Education/Licenses/Certifications:
Bachelor’s degree preferred; additional specific experience may be substituted for education year for year

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