Director, Healthcare Data & Interoperability

Highmark Health; Washington (District of Columbia); On-site; USD 129,000 - 215,000; Full time

Job summary

enGen is seeking a senior leader to drive the healthcare interoperability strategy, enabling seamless data exchange between payers, providers, and internal systems. You will oversee data platforms, QA processes, and data governance while guiding teams to ensure reliable, scalable data delivery across clinical and operational workstreams.

The role requires extensive experience in data analytics, healthcare IT delivery, and strong collaboration with IT partners to implement modern standards such

Qualifications

• 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
• 7 years in Data Analytics
• 10+ years of dedicated experience in healthcare interoperability and clinical data exchange
• 15+ years in Healthcare IT delivery, requiring significant foundational experience on the provider side combined with strategic experience on the payer side
• 5+ years shaping and executing healthcare technology strategy

Responsibilities

• Lead the strategic roadmap and execution for healthcare data exchange, leveraging deep expertise in both payer and provider technology ecosystems (e.g., EHR/EMR platforms like Epic and Oracle) to bridge technical and operational gaps.
• Ensure robust data integration utilizing modern healthcare standards (e.g., HL7 V2, FHIR) to directly support and improve clinical workflows, population health initiatives, and payer-provider alignment.
• Perform management responsibilities to include: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
• Monitor, maintain, and support the operational and analytic data platforms and technology, working closely with IT partners to ensure the group is leveraging the latest tools and technology.Oversee an efficient and effective quality control process that tests and reviews all code and processes to ensure accuracy.Create an overall production and continuous improvement discipline that not only delivers on quality, but continuously lowers our cost to deliver.
• Support data and analytic end-users and stakeholder needs for appropriate data access, awareness, understanding, and troubleshooting to ensure successful information delivery.
• Reliably deliver all assets that exist within the production environment (e.g., data sources, curated datasets, APIs, data feeds, analytic & business intelligence tools) on a timely and accurate basis such that end-users can be more efficient and effective in their job.
• Act as the liaison to the Organization's broader data governance processes, data engineering teams, and other key information technology partners. Act as a critical link to IT and our external plan partners who are leveraging our analytical tools.
• Other duties as assigned or requested.

Skills

Healthcare Interoperability

Clinical Data Exchange

Healthcare IT Strategy

Payer & Provider Ecosystem

Health Plan Operations

EHR/EMR Integration

Healthcare Information Systems

Health Information Management

Talent Management

IT Operations

Data Analytics

Education

Bachelor's Degree in IT/CS/Health Informatics

Master's Degree in IT/CS/Health Informatics

Job description

enGen is seeking a senior leader to drive the healthcare interoperability strategy, enabling seamless data exchange between payers, providers, and internal systems. You will oversee data platforms, QA processes, and data governance while guiding teams to ensure reliable, scalable data delivery across clinical and operational workstreams.

The role requires extensive experience in data analytics, healthcare IT delivery, and strong collaboration with IT partners to implement modern standards such