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Vp Operations And Data Engineering

Company

Dignity Health Management Services

Address , Oxnard, 93030, Ca
Employment type FULL_TIME
Salary $75.31 - $97.90 an hour
Expires 2023-06-10
Posted at 1 year ago
Job Description
Overview

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities

The Vice President of Operations and Data Engineering is a key leader responsible for several operational areas. This role will have direct oversight of the following functional areas: claims operations eligibility/enrollment and system configuration. The Vice President will be responsible for defining a best-in-class operations organization to support dynamic growth and business expansion; consult with key business stakeholders to define and communicate future business and operational readiness and oversee performance improvement activities in the growing managed care claims operations. Current accountability is over more than 50% of the managed care claims operations of CommonSpirit Health and is targeted to continue to advance as the population health services strategy promotes consolidation.

The incumbent will have deep experience in the managed care environment in order to manage responsibility for the planning delivery and oversight of the data architecture and integrity of the assigned departments. This includes design & operations of systems integration & interoperability and partnership with IT for vendor management. Responsible for business systems operations which include core systems for claims system configuration and analytics. Data Services also fall within the scope of this role. Will define and communicate department operational procedures policies and standards for acquiring implementing and operating new systems equipment and software. Will develop track and control the departments annual operating and capital budgets for purchasing staffing and operations. Consistent proactive analysis and improve upon operating standards to maintain a competitive edge within the market.

Qualifications

  • 10 years experience in Data Governance/ IT Leadership. 5 years experience in leadership of a managed care organization preferably with advanced understanding of claims operations and enrollment EDI functionality.
  • Master’s degree in Healthcare or Business Administration preferred.
  • Bachelor’s Degree - Bachelor's in computer science Information Technology or any other related field or relevant experience will be considered.

Pay Range
$75.31 - $97.90 /hour