Job Description
As a Domain expert in IT Healthcare Integrations and Interoperability solutions with an understanding of Healthcare Payer/Provider clinical data exchange you will own and lead valuable deliveries that improve the health experience of our members. This role will interact and participate in the implementation and operation of Epic Payer Platform. Experience with Epic EHR and/or Epic Payer Platform implementation or operations will give an edge to applicants.
You will lead and manage IT teams through successful delivery of solutions to address business needs. Manage on-going maintenance of related systems. Manage relationships with business and technology partners. Performs all people leader tasks. Maintain and enforce ideal architecture for applications under your domain.
With communication needs varying from technical and detailed to business focused and "C" suite consumable, you will be centered in the heart of making the bi-directional data exchange between payers and providers a reality.
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Assistdepartments with strategic analysis to provide recommendations that ensure quality, cost effectiveness, goals, regulatoryrequirementsand mandates are met through IT solutions ina timelyfashion.
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Provide direct reports with well-defined job expectations, ongoing performance feedback,accurateandtimelyperformance appraisals, coaching, mentoring, training, conflict resolution
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Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR Implementation Guides,
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or similar experiences on the Hospital Information Systems roles for the same criteria.
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Knowledge in interoperability and HL7 FHIR,FHIR work groupsand governing bodies(Da Vinci, Carin,Sequoia, NCQA, CMS, etc.).
Our Hybrid Flex approach is builton presencewith a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplacethat'sflexible, connected, and future focused.
In a Hybrid-Flex role,you'llwork in the office at least two days a week for collaboration and connection. In a Remote Flex role,you'llwork virtually, with a few in-office visits each year formeaningfulmoments that matter.
Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in anystateslistedonthis job posting. Onsite expectations will be discussed during the interview process.
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
$130,560.00 - $208,896.00
Skills
Data Integration, Data Solutions, Data Warehousing (DW), Enterprise Data, Information Technology (IT), Information Technology (IT) Projects, Information Technology (IT) Services, Information Technology Infrastructure Library (ITIL), Information Technology Management, IT Leadership, IT Service Management (ITSM), People Management, Performance Analysis, Solutions Delivery, Technical Solutions, Technology Solution Delivery
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