Provider Data Services Manager

Healthcare coverage provider in Los Angeles is looking to hire a

• This position supports leadership's strategy and drives the execution and operation of 1) Provider Network Management 2) Provider Data Management, and 3) Medi-Cal Business Partner ("Plan Partner") Account Management.
• Through a systematic and disciplined approach, the Manager oversees and manages technical deliverables to ensure data production and processing meets the enterprise's specifications, furthermore the Manager will work strategically with leadership to provide analytical information in support of the organization's strategic goals.
• The Manager, Provider Data Services has a strong knowledge of the healthcare market and technical capacity to ensure alignment of health plan operation, policies, regulatory requirements and implementation of IT data analytical services.

• Ability to understand business needs and translate those needs into specific requirements in both accurate business and technical terminologies based on the audience.
• Excellent analytical thinking and ability to perform root cause analysis.
• Drives work progress through strong leadership skills and ability to leverage healthcare and IT knowledge to drive outcomes.
• Ability to plan for and articulate decision impacts across business processes and applications.
• Perform other duties as assigned.

• Education Required Bachelor's Degree in Information Systems or Related Field In lieu of degree, equivalent education and/or experience may be considered.
• Education Preferred Master's Degree in Information Systems or Related Field
• 5-7 years of direct experience developing complex data processing tasks - ETL, data manipulation, and data build in RDBMS with multi-millions to billions data records (1 TB+ data volume).
• 5-7 years of data quality management and data analytical experience.
• 3-5 years of healthcare experience.
• 3-4 years of progressive supervision and management experience.
• 3+ years of IT application end-to-end (raw data to UI) development work experience.
• 2+ years of data modeling experience.
• 2+ years of project/program management experience.
• 2+ years of BPM and business process improvement experience.
• Experience on BI tools.
• Experience on NoSQL environment.
• Preferred: Experience working with managing programs or other managerial experience.
• Managed care experience.

• Demonstrated critical thinking, problem solving, and project planning and implementation skills.
• Demonstrated critical thinking, problem solving, and project planning and implementation skills.
• Demonstrated strong writing and communication skills.
• Demonstrated ability to synthesize and analyze qualitative and/or quantitative data.
• Knowledge of health care operations or health care systems.
• Experience building relationships with organizations and business partners.
• Knowledge of metric management methodology.
• Ability to write technical and business requirements.
• Excellent analytical thinking capacity of root causes.
• Strong leadership ability.
• Proficient in MS Office Suite - WORD, Excel, PowerPoint, Access, Project, Visio, Outlook.
• Strong elicitation and process documentation skills.
• Excellent written and verbal communication skills, including documentation and presentation.
• Solid IT development team management experience and IT project management practices of Software Development Life Cycle (SDLC) and Agile methodologies.
• Preferred: Experience of vendor management (software and workforce) experience.
• Experience of procurement management in contract negotiation, Request of Proposal (RFP), Master Service Agreement (MSA), Statement of Work (SOW) creation. Data management experience in Master Data Management (MDM) - data model and business rule.