Director, Healthcare Data Exchange & Operations

Highmark Health; Saint Paul (MN); On-site; USD 129,000 - 215,000; Full time

Job summary

enGen seeks a senior leader to drive the organization's healthcare interoperability strategy, championing bidirectional data exchange across the provider network. You will supervise data platforms, ensure data quality, and manage governance while aligning IT and business objectives.

The role emphasizes leading teams in data ingestion, transformation, and delivery for analytics, case and utilization management, risk programs, and claims processing within a large health plan ecosystem.

Qualifications

• Bachelor’s degree or 6 years of relevant work experience in lieu of degree.
• 10+ years in healthcare IT delivery or interoperability is appreciated.

Responsibilities

• Lead the strategic roadmap for healthcare data exchange and bridge payer/provider gaps.
• Ensure robust data integration using HL7 V2 and FHIR to support clinical workflows.

Skills

Healthcare Interoperability

Payer & Provider Ecosystem Alignment

Healthcare IT Strategy & Delivery

EHR/EMR Platform Integration

Clinical Data Exchange

IT Operations

Talent Management

Health Plan Operations

Education

Bachelor's Degree in Information Technology, Computer and Information Science, Computer Engineering, Health Informatics or related field

6 years of relevant work experience in lieu of a bachelor’s degree

Master's Degree in Information Technology, Computer and Information Science, Computer Engineering or related field

Tools

Epic Systems

Oracle

Job description

enGen seeks a senior leader to drive the organization's healthcare interoperability strategy, championing bidirectional data exchange across the provider network. You will supervise data platforms, ensure data quality, and manage governance while aligning IT and business objectives.

The role emphasizes leading teams in data ingestion, transformation, and delivery for analytics, case and utilization management, risk programs, and claims processing within a large health plan ecosystem.