Healthcare Data Management Specialist

Dignity Health; Redlands (CA); Remote; USD 80,000 - 100,000; Full time

Job summary

Dignity Health is seeking a Healthcare Data Management Specialist in Redlands, CA. This remote role involves data management to support population health analytics within its integrated physician networks. Candidates should possess at least 3 years of relevant experience and strong communication skills. A competitive hourly pay rate of $23.00 - $31.38 is offered along with comprehensive benefits.

Benefits

Flexible Health & Welfare benefits

401k retirement plan with employer-match

Paid Time Off and Sick Leave

Qualifications

• Minimum 3 years’ experience in provider relations.
• Demonstrated skills in written and verbal communication.
• Strong proficiency in Microsoft Office products.

Responsibilities

• Provides data management support services within healthcare networks.
• Generates reports to support performance monitoring.
• Ensures data quality and accessibility for population health analytics.

Skills

Communication

Problem-solving

Customer service

Attention to detail

Education

High school diploma or equivalent

Bachelor’s Degree in Business, Finance, Health Care Management, or Economics

Tools

Salesforce

Microsoft Office

Google Workspace

Job description

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• This position is remote, but will be expected to work PST business hours.
  
  

Responsibilities

• This position is remote, but will be expected to work PST business hours.
  
  

Position Summary

The Clinical Integration Network (CIN) and Accountable Care Organization (ACO) programs are clinically integrated physician networks sponsored by Dignity Health (DH). Similar to the CIN/ACO Networks, the Greater Sacramento Service Area (GSSA) Network, is a partnership between Mercy Medical Group, Woodland Clinic and Hill Physicians Medical Group. In addition, in order to fill service gaps in a CIN/ACO Network, a complementary network of ancillary providers is maintained in each region. This role focuses on data management to support population health analytics and the effective operation of physician networks under Dignity Health MSO.

The Data Management Specialist Is An Employee Of Dignity Health Management Service Organization (MSO). Under The Direction Of The CIN/ACO Manager, This Individual

• provides data management support services to Dignity Health’s CIN/ACO Networks, Performance Insight, Employer Relations, and Valued Based Operations
• gathers, maintains, and reconciles accurate healthcare data within the Salesforce platform, utilizing multiple data sources including 3rd party payors
• generates reports on physician networks to support performance monitoring and improvement
• conducts review of network adequacy and capabilities
• maintains and transmits fee schedules as necessary to third-party administrators (TPAs) and other stakeholders
• provides customer support services to Dignity Health CIN/ACO Networks
• supports population health analytics by ensuring data quality and accessibility
  
  

Qualifications

Minimum Qualifications:

• Minimum 3 years’ experience in provider relations, provider credentialing, provider database maintenance and reporting, provider contracting and/or network development in a health care or managed care setting required
• High school diploma or equivalent required
• Demonstrated skills in the areas of written and verbal communication, judgment, and problem-solving
• Strong proficiency in Microsoft Office products required
• This position requires a highly motivated person with exceptional customer service, relationship management and interpersonal skills
• Attention to detail
• Capable of independent thinking
• Ability to perform in a team environment
  
  

Preferred Qualifications

• Bachelor’s Degree in Business, Finance, Health Care Management, Economics or equivalent preferred.
• Experience with Protected Health Information (PHI) preferred.
• Strong understanding of HIPAA regulations, medical terminology, and data integrity principles preferred.
• Strong proficiency in Google Workspace preferred.
  
  

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.

One Community. One Mission. One California

Pay Range

$23.00 - $31.38 /hour

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Information Technology

• Industries

  Hospitals and Health Care

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