Clinical Data Management Manager
Intermountain Health
**Job Description:**
This position proactively provides leads coordination, support, and program management by effectively interpreting value-based and/or external reporting program (federal, state, accreditation, commercial, external report cards, etc.) requirements. This position is responsible for the evaluation, submission, coordination, and support implementation of these programs. This role leads program management, collaborates, identifies, and partners with appropriate accountable stakeholders across the care sites to support their work in improving program performance. This position has an in-depth knowledge of applicable programs, partners with key stake holders and represents Intermountain in these programs.
**Essential Functions**
+ Lead program management with confidence, expertise, and authority, including obtaining and maintaining an in-depth understanding of the program scope, breadth, measure specifications, data capture, data uses, and performance interpretation. Management also includes reviewing proposed changes and submitting comments, participating in pilot programs, coordinating stakeholders, gap analysis and interpretation, providing feedback to the program agency, and speaking to the program at all levels of the organizational hierarchy. Key stakeholders / partners are those who will drive and lead performance improvement and operational accountability functions.
+ Read and interpret program rules (federal, state, accreditation, commercial, external report cards, etc.), compose responses to proposed changes, perform gap analyses comparing current state to proposed changes, facilitate change implementation to operationalize new requirements with a focus on improve outcomes balanced with burden / resources of the organization
+ Coordinates and packages reports to demonstrate compliance with quality and financial implications of reports. Finance implications are determined and validated in partnership with applicable financial leadership.
+ Partners with analytic support to design reports that support the program and provide key stakeholders with information to continue performance improvement activities. Advises on the design, implementation and monitoring of dashboard reporting to demonstrate program performance balancing data requests with existing like measures.
+ Develops project plans for value-based &/or external reporting programs in partnership with key stakeholders
+ Identifies areas of priority to improve performance and partners with stakeholders as they facilitate teams, who design process or workflows related to these programs.
+ Ensures administrative compliance and integrity with measures and program requirements and maintains program documentation in the case of auditing from payer programs.
+ Promote early quality measure engagement by participating in federal and state regulatory committees (i.e., PQM-Battelle, State Department of Health, CHA, CO-HTP, CO-HQIP, etc.) Where possible establishes and maintains strategic and operational partnership with key programs. Promote simplicity in measurement with focus on balance between patient outcomes and appropriate Intermountain resources for compliance.
+ Provides expertise to leaders who negotiate to secure financially and administratively favorable agreements with government and specialized payer programs.
**Skills**
+ Quality reporting
+ Data interpretation
+ Facilitation
+ Regulatory readiness
+ Data Analysis
+ Project Management
+ Process improvement
+ Value Based Payment
+ Federal/State Quality programs
+ Presentation preparation and delivery
+ Consultation and education design and delivery
**Qualifications**
Minimum Requirements
+ Bachelor's degree in nursing, Business, Healthcare Administration, Public Health, Informatics, Organizational Development, or business/health-related field. Education must be obtained through an accredited institution.
+ Three (3) years of experience in acute/ambulatory quality programs or government/ managed care experience is required. Two (2) years of experience in health care or health plan environment.
+ In depth knowledge of facility payment structures, benefit design, and reimbursement methodologies including capitation.
+ Three years in a role requiring effective decision-making skills and the ability to work autonomously, communicate effectively, and manage frequent variations in workload in a healthcare enterprise/system setting.
+ Understanding of regulatory, accreditation, value-based, state and commercial programs
+ Ability to read, interpret and apply complex written guidelines, instructions, and other materials.
+ Strong experience in Word, Excel, PowerPoint or like software
**Preferred Requirements**
+ Master’s degree in healthcare related field
+ Experience in working in a complex health system
+ Experience in SQL or other query language used to query databases
**Physical Requirements:**
**Physical Requirements**
+ Interact with others requiring employee to communicate information
+ Operate computers, telephones, office equipment, and manipulate paper requiring the ability to move fingers and hands.
+ See and read computer monitors and documents.
+ Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
+ Ability to travel to some remote sites and for system meetings required.
**Location:**
Peaks Regional Office
**Work City:**
Broomfield
**Work State:**
Colorado
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$44.33 - $68.42
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
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