Director of Clinical/Operations Platforms and Data

Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services mission of Building Healthier Communities Together. This is a remote position in which we are able to employ in the following states:, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin Our ideal candidate will have experience in the following: Facets Clinical Care Advance (CCA) EPIC Health Plans data analytics JOB SUMMARY/PURPOSE Provides support for data-related initiatives, including business requirements gathering, software development and data integration and reporting. Acts as an interface to the IS Infrastructure, internal business owners, external stakeholders and regulatory agency for Health Plan related systems. Leads, and in collaboration with Health Plans Information Systems and Clinical Analytics team, performs complex business analysis, data analytics, modeling and reporting of various data. Primarily responsible for the oversight of the Health Plans Data Management and reporting initiatives which include data vision and strategy, data ownership and governance, business intelligence, technical specifications, data locations, data access and provisioning. Advances and ensures the success of an enterprise-wide data, platforms and reporting strategy to enable business transformation, monitoring and reporting. Oversees platform and application solutions and performance to provide data analytics, and reports are delivered both internally and externally to ensure a high level of integrity in reporting and deliverables. EXPERIENCE/EDUCATION/QUALIFICATIONS Bachelor degree or equivalent experience in a related field required. Master degree preferred. Eight (8) years experience in IT programs and/or project management required. Five (5) years experience in a health-related field required. Two (2) years experience in data modeling, informatics, and analysis with demonstrated capacity to independently draw inferences and communicate findings required. Health insurance industry leadership experience preferred. Program and project management experience preferred. Epic and/or EHR experience preferred. KNOWLEDGE/SKILLS/ABILITIES Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management. Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner. Critical thinking Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions. Communication and team building Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects. PHYSICAL DEMANDS Rarely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 100% of the time) LIFT (Floor to Waist: 0 ) 0-20 Lbs LIFT (Knee to chest: 24 ) 0 - 20 Lbs LIFT (Waist to Eye: up to 54 ) 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds CARRY 2-handed, 0 - 20 pounds KNEEL (on knees) BEND FORWARD at waist CLIMB - STAIRS STAND WALK - LEVEL SURFACE ROTATE TRUNK Standing REACH - Upward PUSH (0-20 pounds force) PULL (0-20 pounds force) SIT ROTATE TRUNK Sitting REACH - Forward MANUAL DEXTERITY Hands/wrists FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist None specified Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services' self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together. This is a remote position in which we are able to employ in the following states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin Our ideal candidate will have experience in the following: Facets Clinical Care Advance (CCA) EPIC Health Plans data analytics JOB SUMMARY/PURPOSE Provides support for data-related initiatives, including business requirements gathering, software development and data integration and reporting. Acts as an interface to the IS Infrastructure, internal business owners, external stakeholders and regulatory agency for Health Plan related systems. Leads, and in collaboration with Health Plans Information Systems and Clinical Analytics team, performs complex business analysis, data analytics, modeling and reporting of various data. Primarily responsible for the oversight of the Health Plans' Data Management and reporting initiatives which include data vision and strategy, data ownership and governance, business intelligence, technical specifications, data locations, data access and provisioning. Advances and ensures the success of an enterprise-wide data, platforms and reporting strategy to enable business transformation, monitoring and reporting. Oversees platform and application solutions and performance to provide data analytics, and reports are delivered both internally and externally to ensure a high level of integrity in reporting and deliverables. EXPERIENCE/EDUCATION/QUALIFICATIONS Bachelor's degree or equivalent experience in a related field required. Master's degree preferred. Eight (8) years experience in IT programs and/or project management required. Five (5) years experience in a health-related field required. Two (2) years experience in data modeling, informatics, and analysis with demonstrated capacity to independently draw inferences and communicate findings required. Health insurance industry leadership experience preferred. Program and project management experience preferred. Epic and/or EHR experience preferred. KNOWLEDGE/SKILLS/ABILITIES Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management. Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner. Critical thinking - Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions. Communication and team building - Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects. PHYSICAL DEMANDS Rarely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 - 100% of the time) LIFT (Floor to Waist: 0"-36") 0-20 Lbs LIFT (Knee to chest: 24"-54") 0 - 20 Lbs LIFT (Waist to Eye: up to 54") 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds CARRY 2-handed, 0 - 20 pounds KNEEL (on knees) BEND FORWARD at waist CLIMB - STAIRS STAND WALK - LEVEL SURFACE ROTATE TRUNK Standing REACH - Upward PUSH (0-20 pounds force) PULL (0-20 pounds force) SIT ROTATE TRUNK Sitting REACH - Forward MANUAL DEXTERITY Hands/wrists FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist None specified