Program Lead, Payor Connections/Interoperability

Responsibilities

• Lead interoperability projects with provider outreach
• Develop relationships with provider group partners and vendors
• Create and maintain project plans
• Help develop operational strategy and market approach
• Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact
• Direct the testing and validation of data connections to ensure compliance and functionality
• Oversee the creation and maintenance of essential operational dashboards, and update and enhance them as our user's needs evolve
• Track development progress, resolve issues related to data quality or integration, and ensure continuous improvement in interoperability programs
• TEFCA subject matter expert
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements

• 3+ years of work experience in health care operations or health insurance; working directly with provider groups
• 2+ years of experience in delivering interoperability projects / programs
• In depth knowledge of TEFCA
• Strong analytical skills

Bonus Points

• Risk Adjustment experience
• Basic SQL or BQ query writing experience