SUMMARY: The Manager, HEDIS Data & Analytics will oversee activities in support of HEDIS data management including HEDIS rate generation, oversight of the HEDIS vendor, collaboration with IT teams, and HEDIS audit support. This position is responsible to plan, organize, direct, control, and lead the assigned business unit. ESSENTIAL DUTIES AND RESPONSIBILITIES: * Manages activities of a department including, but not limited to, planning, problem solving, staff development, and communication. * Executes function/area objectives that support continuous improvement. * Manages professional, exempt, and non-exempt non-bargaining and bargaining unit employees. * Responsible for special projects and/or problem resolutions. * Provides effective and efficient solutions to complex business problems. * Provides high level oversight and leadership. * Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches cause and makes recommendations. * Responsible for balancing workload to optimize the effectiveness of the department. EDUCATION AND EXPERIENCE: Bachelor's degree in a related field. Master's degree in a related field preferred. Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged. Seven (7) years experience of progressive responsibility in a related environment with demonstrated technical knowledge that provides the necessary knowledge, skills, and abilities required. Three (3) years supervisory or lead experience in related field required. Bilingual skills preferred. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. OTHER SKILLS AND ABILITIES: * Proficient with databases like MS SQL, Oracle, etc. and data applications such as Toad and/or SQL server * Proficient in data programming languages such as SAS and/or SQL * Proficient in current industry standard PC applications and systems (e.g. Access, Excel and Word) * Knowledge and experience of HEDIS program * Knowledge of Medicare Advantage Stars a plus * Knowledge and experience with healthcare data and knowledge of industry standard data models * Knowledge and understanding of architecture, application design, and integration * Ability to work under general direction. * Ability to work effectively in a team environment. * Excellent analytical, organizational, planning, verbal, and written communication skills. * Other related skills and/or abilities may be required to perform this job. * Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization. * Must demonstrate leadership ability and team building skills to effectively supervise professional and non-professional staff and interact with all levels of management. * Ability to work with and empower others on a collaborative basis to ensure success of unit team. * Ability to effectively exchange information, in verbal or written form, by sharing ideas, reporting facts and other information, responding to questions, and employing active listening techniques. * Ability to establish workflows, manage multiple projects, and meet necessary deadlines. SUPERVISORY RESPONSIBILITIES Directly supervises a varied number of employees in the designated department(s). Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. ADDITIONAL INFORMATION The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment. PAY RANGE: Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $92,200 and $154,500. EEO Statement: All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. Candidates are hired on an \"at will\" basis. Nothing herein is intended to create a contract.
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