Principal Provider Integration, Analytics Delivery Manager

🕒 vor 14 Tagen

🤠 Texas – Remote

🤠 Texas – Remote

💵 $108.500 - $155.000 / Jahr

⏰ Vollzeit

🔴 Experte

👔 Manager

🦅 H1B-Visum-Sponsor

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Gainwell Technologies

WebsiteLinkedInAlle Stellen

10.000+ Mitarbeiter

⚕️ Krankenversicherung

💰 Grant im 2023-06

Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies ist der führende Anbieter von digitalen und cloud-fähigen Lösungen im Bereich der Human Services und der öffentlichen Gesundheit in den USA. Mit einem zielorientierten Ansatz bedient Gainwell Kunden in allen 50 US-Bundesstaaten und konzentriert sich darauf, Gesundheitsergebnisse zu verbessern und intuitive, menschzentrierte Erfahrungen zu bieten. Ihr umfassendes Lösungsspektrum umfasst die Modernisierung von Medicaid Enterprise, Datenanalysen, Anbieter-Dienstleistungen und Apothekenlösungen, die alle darauf ausgelegt sind, die Zukunft des Gesundheitswesens voranzutreiben und das Wohl der Gemeinschaft zu verbessern.

Beschreibung

• Oversee end-to-end delivery of data integration, interfaces, conversions, reporting, and analytics for Provider+ implementations across all lifecycle phases. • Own and maintain the integration/interface catalog, including all inbound and outbound data exchanges (e.g., provider enrollment, credentialing, screening, MCOs, state hubs). • Lead technical design integrity for interfaces, APIs, data mappings, schemas, error handling, and reconciliation, ensuring traceability from requirements through testing. • Coordinate with engineering and platform teams on build/configuration/localization of integrations, conversions, and analytics pipelines; validate unit and integration test evidence prior to SIT. • Define and govern provider data conversion and migration strategy, including mapping, cleansing rules, load approach, cutover sequencing, reconciliation, and acceptance criteria. • Drive analytics and reporting readiness, ensuring datasets, feeds, semantic models, and dashboards are aligned to source-of-truth and ready for UAT and production. • Ensure non-functional requirements and compliance (security, privacy, auditability, performance) are met in partnership with Architecture and Security teams. • Serve as the primary technical/data advisor to the Engagement Lead, assessing feasibility of requirements and providing impact analysis and options for scope/schedule trade-offs. • Lead client facing delivery cadences, including recuring program wide delivery meetings and executive ready status reporting with clear risks and mitigations. • Drive technical execution quality by setting and enforcing delivery standards, including documentation, coding guidelines, peer reviews, and unit testing expectations. • Support staffing and financial forecasting inputs, and budget cycle activities needed to keep delivery on track.

🎯 Anforderungen

• 8+ years of Management Consulting experience in Medicaid State & Local Government OR Commercial Payer Experience • Proven experience leading large-scale data integration, analytics, and reporting deliveries with significant scope and complexity. • Strong client-facing communication and stakeholder management skills, including governance leadership and executive-level reporting. • Deep technical expertise in enterprise data warehousing and BI, including data architecture, data modeling, ETL/ELT patterns, data quality, and reconciliation. • Hands-on experience with modern data platforms such as Databricks or comparable technologies (e.g., Snowflake, Azure Synapse). • Proficiency with Power BI (semantic models, dashboards, deployment practices) and advanced SQL for data analysis and automation. • Strong experience with system integrations and interfaces, including API-based integrations and industry standards such as FHIR (Fast Healthcare Interoperability Resources). • Strong domain knowledge of Medicaid/MMIS provider operations, including provider enrollment, credentialing, screening, managed care integrations, and CMS reporting.

🏖️ Vorteile

• generous, flexible vacation policy • educational assistance • comprehensive health benefits • 401(k) employer match • comprehensive leadership and technical development academies