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Senior Manager, Business System Analysis - Remote

Remote Worldwide Hiring now

This position is responsible for overall completeness and timeliness of UHC/OptumCare clinical ambulatory and hospital from Providers and vendors with a goal of the role to drive HEDIS toward a 5 Star Rating for reputed company reputed company and data submission types, which includes reputed company data from provider and vendor entities (Ambulatory, Facilities, Labs, HIEs, etc). You'll enjoy the flexibility to work remotely

  • from reputed company reputed company the U.S. as you take on some tough challenges. For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities: Partnership with the Market/Business Leasers (UHC/OptumCare)

  • Must be reputed company to cultivate Solid Partnership with UHC reputed company Lines of Business Operational Peers Works as a technical liaison in cohesion with operational reputed company to execute acquisition of data from providers, specialists, and other entities
  • Leads cross functional efforts on the technical reputed company for process improvement and communication to data acquisition team leadership
  • Directly involved with elevated, prioritized provider group issues to help resolve and drive solutions for data collection
  • Monitors, Reports, and communicates process reputed company for intake of data and timeliness of processing
  • Ability to problem solve including multiple priorities and research conflicting and/or inaccurate data
  • Manage issues by proactively reporting reputed company and working with cross functional peers to resolve
  • Serve as Provider Data Acquisition SME to internal local teams and external providers for reputed company data acquisition processes
  • Serve as market SME to campaign leaders ensuring campaigns meet local market requirements and nuances
  • reputed company and project management responsibilities for the successful implementation of clinical data exchange implementations with key providers (may include capturing data from various data sources including EMR (Electronic Medical Record), HIE (Health Information Exchange), data marts, etc.)
  • Manage implementations through effective use of project plan and project management discipline
  • Engage with providers to discuss requirements and process for setting up clinical data exchanges
  • Collaborate with market management to identify and engage key providers to collect member encounter and clinical data
  • reputed company cross-functional teams to drive projects to completion reputed company committed timelines
  • Communicate effectively to manage expectations of clients and providers
  • reputed company timely and accurate reputed company updates and reporting reputed company to reputed company project status for each implementation
  • Identify, manage, and mitigate risks and issues impacting implementations
  • Participate in development, maintenance, and improvement of implementation processes

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications:

  • 5+ years of clinical data analysis experience
  • Member encounter/clinical data experience
  • Experience in working with HL7 and FHIR clinical data standards
  • Understanding of HIPAA and PHI compliance
  • Proficient in understanding HEDIS requirements as it relates to data submissions and performance
  • Proficient at using SharePoint, Rally, and Service Now
  • Demonstrated ability to manage multiple clinical submitter implementations at one time
  • Demonstrated ability to adapt to a fast-paced, quickly changing environment
  • Demonstrated ability to effectively implement and reputed company change management
  • Proven solid communication skills
  • Proven solid leadership skills
  • Proven client relationship management skills

Preferred Qualifications:

  • Technical and business experience regarding clinical quality specifications with the ability to reputed company with confidence
  • Provider-facing experience
  • EHR/Vendor system experience
  • General understanding of CMS Stars ratings and HEDIS
  • reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $112,700 to $193,200 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. Apply tot his job Apply To this Job

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