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Manager, Provider Data Services

Job Category:  Provider Relations
Department:  Provider Data Management
Location: 

Los Angeles, CA, US, 90017

Position Type:  Full Time
Requisition ID:  8226

 

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

As a condition of employment, L.A. Care requires a COVID-19 vaccine. This requirement includes our remote workforce. If you would like to request an exemption, L.A. Care has implemented a process to consider exemptions, for documented medical conditions and sincerely held religious beliefs. L.A. Care will review all exemption requests prior to proceeding with the recruitment process.

Job Summary

The Manager of Provider Data Services provides leadership, supervision, and direction to support the operation and analytic functions of Provider Data Services unit's daily operations, including developing and applying departmental strategies; co-leads or leads enterprise wide data management initiatives. The Manager participates as a liaison between L.A. Care and its Medi-Cal Business Partners ("Plan Partner") to support business imperatives and data analysis, and collaborates with L.A. Care internal business and technology stakeholders to drive positive business outcomes.

 

This position supports L.A. Care 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 L.A. Care's 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.

 

Duties

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

Experience

Required:
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.

Skills

Required:
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.

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Additional Information

 

L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)

 

At L.A. Care, we value our team members’ safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed.


Nearest Major Market: Los Angeles

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