Director, Data Science and Informatics

About the role

This position provides strategic and operational leadership for CareOregon’s Data Science, Data Engineering, and Business Intelligence functions within the Informatics and Evaluation (I&E) department, reporting to the Vice President of I&E within the Finance and Strategy division. The Director is accountable for setting vision, prioritization, and standards across technical teams, with a focus on developing people, maturing capabilities, and aligning work to organizational strategy, including the Healthcare Value workstream.

Responsibilities

• Set technical vision, standards, and best practices across data science, data engineering, and business intelligence functions.
• Guide the development of advanced analytical capabilities, including predictive modeling, forecasting, and self-service analytics.
• Oversee prioritization and delivery of analytics and data products, ensuring alignment with organizational priorities and business value.
• Oversee the development, maintenance, quality assurance, and documentation for the department’s data tables and data mart resources.
• Translate complex analytical concepts for leadership in the appropriate form to convey meaning, significance, and actionable information.
• Collaborate with internal and external customers to identify, refine, and deliver data products tailored to the customer needs and specifications.
• Oversee visual reporting (e.g., dashboards, scorecards, etc.) using data visualization tools such as Tableau when appropriate.
• Oversee maintenance of technical documentation such as data dictionaries, business glossaries, metric definitions, and other data resources.
• Prepare and/or deliver presentations to community groups, regulatory agencies, leadership, and other teams as needed.

Strategic/Operational Planning

• Develop strategies and team capabilities aligned with organizational priorities, including Healthcare Value initiatives.
• Provide input into strategic plans for the organization.
• Develop annual program goals that align with organizational strategic goals in collaboration with the Vice President of Informatics and Evaluation.
• Develop short- and long-term plans and policies; oversee the development and execution of standard operating procedures.
• Maintain a business unit view while establishing department priorities, being cognizant of broader business unit and organizational impacts.
• Own portfolio-level prioritization across teams, ensuring resources are directed toward high impact initiatives.
• Create transparency into work content, team capacity, and tradeoffs to support department-level prioritization.

Financial/Resource Management

• Recommend budgets in alignment with short- and long-term plans.
• Manage resources to ensure priorities are accomplished.
• Approve resource allocations within budget, including people, finances, and timelines; make decisions on exceptions.

Relationship Management

• Lead effective communication system for work group(s), ensuring a collaborative culture.
• Build and ensure effective relationships across internal teams and external organizations for current or future integration.
• Partner with internal leaders and managers in identifying improvement plans and processes.
• Provide department wide support and oversight in organizational alignment work with lines of business and regional teams; act as key liaison with other teams.
• Provide strategic partnership and support to lines of business to implement operational and clinical initiatives that assure that CareOregon meets all health outcomes quality improvement targets, performance improvement programs, and regulatory deliverables.
• Represent CareOregon in external meetings and functions, providing productive leadership presence and effectiveness.
• Act as CareOregon delegate in relevant state and national committees and ensure our programs and policies consider the evolving landscape.
• Foster a high-performance culture with a focus on innovation, quality, and continuous improvement.

Employee Supervision

• Direct teams and establish team direction and goals in alignment with the organizational mission, vision, and values.
• Identify work and staffing models; recruit, hire, and oversee a team to meet work needs, using an equity, diversity, and inclusion lens.
• Identify department priorities; ensure employees have information and resources to meet job expectations.
• Lead the development, communication, and oversight of team and individual goals; ensure goals, expectations, and standards are clearly understood by staff.
• Manage, coach, motivate, and guide employees; promote employee development.
• Incorporate guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making.
• Ensure team adheres to department and organizational standards, policies, and procedures.
• Evaluate employee performance and provide regular feedback to support success; recognize strong performance and address performance gaps and accountability (corrective action).

Qualifications

• Minimum 10 years’ experience in the programming and analysis of health insurance, medical claims and financial or health-related related data.
• Experience with health information, terminology and clinic outcomes or classification coding tools, CPT codes, ICD-9/10.
• Experience in leadership positions that include driving strategy, delivering impactful data engineering and data science initiatives for cross-functional teams, and scaling data platforms.
• Strong background in overseeing data governance, data quality, and enterprise data management.
• Experience planning and leading complex analysis and reporting projects or any work experience and/or training that would likely provide the ability to perform the essential functions of the position.

Preferred

• Minimum 4 years’ experience in a supervisory position.
• Master’s degree in analytics, public health, or related field.
• Experience working with the Oregon Health Plan (OHP) benefit, the Oregon Health Authority (OHA) and/or the Centers for Medicare and Medicaid Services (CMS) rules and regulations.
• Experience with artificial intelligence, machine learning, and/or geographic information systems preferred.