Program Manager

As a Program Manager of Clinical Data and Measurement you will be responsible for providing program leadership on complex healthcare measurement projects, analytic deliverables and technical implementations for a state Medicaid program. You will work collaboratively with all entities involved in the program and will serve as a liaison between Telligen project leadership and the customer. You will bring a strong blend of project experience, technical expertise, healthcare knowledge, and leadership capabilities to drive our quality measurement initiatives.

This position is primarily remote; however, applicants must reside in a state w Telligen is authorized to conduct business, including Colorado, Iowa, Illinois, Maryland, Massachusetts, and Pennsylvania. Telligen will consider internal employees in other statesWhat you'll do:

You will ensure programs meet and exceed expectations by overseeing cross-functional clinical data program activities, timeliness, and internal quality control standardsYou will coordinate between internal Telligen program and analytic and technical teamsYou will serve as a subject matter expert and lead a large portfolio of clinical data measures.

This includes gathering and defining business requirements, providing analytic insights, and managing technical and analytic direction for various projectsYou will be responsible for ensuring accurate and timely delivery of measure results to clientYou will ensure adnce to state and national standardsYou will coordinate workflows and research activities to investigate the accuracy and completeness of data sources and other inputs needed for measurementYou will synthesize analytic insights with business questions and policy knowledge, and develop innovative solutions that support strategy development, program implementation, and evaluationYou will manage technical support channels to support internal and external customersYou will provide guidance on measure interpretation and technical issuesYou will perform miscellaneous duties as assigned

Required Skills and Experience:

Four-year degree in Health Information Systems, health care, Public Health, Health Administration, or a related field, and/or equivalent training and/or experienceDemonstrated excellence in written and verbal communication with customers, business partners, and key stakeholdersDemonstrated ability to critically evaluate data qualityDemonstrated experience with healthcare data which may include electronic health records (EHR), electronic Clinical Quality Measures (eCQMs), and/or claimsApplied knowledge of healthcare quality measurement, value-based payment programs, and regulatory reporting, which may include

HEDIS, CMS

Core Measures, the Joint Commission (TJC)Intermediate knowledge of Excel3+ years leading projectsPositions working specific contracts may require U.S. CitizenshipBecause of the nature and immediacy of the work, the ability to maintain regular and predictable attendance is essentialExpertise in the subject matter of the programExcellent verbal and written communication skills

Preferred Skills and Experience:

Demonstrated expertise in Medicaid claims data including Member, Enrollment, Provider, Lab, Visits, Pharmacy, etcMaster's degree in health information systems, health care, Public Health, Health Administration, or a related fieldExperience with data analysis using quality measurement and Medicaid claims

Who We Are:

Telligen is one of the most respected population health management organizations in the country. We offer clinical, analytical, and technical expertise to support local, Tribal, and national partners, state and federal government ...For full information see follow application link. Telligen and its affiliates are Affirmative Action, Equal Opportunity Employers (EOE/M/F/Vet/Disability) and E-Verify Participants.