IT HEDIS & Analytics Manager

Sentara Health; Norfolk (VA); On-site; USD 120,000 - 150,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/403B with Employer Match

Tuition Assistance

Job summary

Sentara Health in Norfolk, VA seeks an IT HEDIS Manager to lead technology, data integration, platform operations, and validation for the HEDIS program. You will oversee ETL teams, production support, data-quality controls, and reporting, partnering with quality, business, vendor, audit, and project stakeholders.

You will also support a major HEDIS engine replacement initiative, including migration to a future-state platform with Arcadia supporting portions of HEDIS and NCQA-related

Qualifications

• Seven+ years in healthcare data, payer tech, analytics, or related IT functions.
• Three+ years leading ETL, data engineering, or production support teams.
• Experience supporting HEDIS data processing, validation, or engine migrations.
• Knowledge of payer enrollment, claims, encounters, and NHQA-related data.
• Experience with HEDIS vendors/platforms and NCQA audits (preferred).
• Familiarity with ECDS, FHIR, HIE integration, and clinical data exchange.

Responsibilities

• Lead IT functions supporting the organization’s HEDIS program.
• Oversee ETL developers, data feeds, and production operations.
• Coordinate validation, audits, and reporting deliverables with stakeholders.
• Manage vendor coordination and technical documentation efforts.
• Support migration and validation activities for HEDIS engine replacements.

Skills

Payer data knowledge

ETL & data engineering leadership

SQL & data warehouses

Databricks

API integrations

Data quality and validation

Production support & monitoring

HEDIS operations knowledge

Education

Bachelor’s degree in IT/CS/Data Management/Healthcare Admin

7+ years relevant experience in lieu of degree

Tools

Databricks

Arcadia & Cotiviti familiarity

Inovalon experience

Job description

Overview

The IT HEDIS Manager is responsible for leading the technology, data integration, platform operations, and technical validation functions that support the organization’s HEDIS program. This role manages ETL developers and operational support staff while serving as a key IT partner to HEDIS, Quality, business, vendor, audit, and project stakeholders. The manager oversees HEDIS data feeds, production operations, platform support, data-quality controls, technical documentation, vendor coordination, audit support, and reporting deliverables. This role will also support a major HEDIS engine replacement initiative, including migration from the current Inovalon/Cotiviti environment to a future-state platform with Arcadia supporting portions of HEDIS and NCQA-related functionality.

City/State

Norfolk, VA

Work Shift

First (Days)

Education

• Bachelor’s degree in Information Technology, Computer Science, Data Management, Healthcare Administration, or a related field (Preferred)

• 7+ years relevant experience may be accepted in lieu of degree

Certification/Licensure

• No specific certification or licensure requirements

Experience

• Seven or more years of experience in healthcare data, payer technology, analytics, data warehousing, quality measurement, HEDIS operations, or related IT functions (required )
• Three or more years of leadership experience managing ETL, data engineering, technical operations, analytics, production support, or similar teams, including direct oversight of staff (required)
• Experience supporting HEDIS data processing, reporting, validation, audits, quality-measurement platforms, or HEDIS engine implementation, replacement, migration, or parallel-validation activities(Required)
• Strong knowledge of payer enrollment, claims, encounters, pharmacy, provider, laboratory, clinical, supplemental data, ETL, SQL, data warehouses, Databricks, file-based integrations, APIs, testing, reconciliation, and production support.
• Experience working with HEDIS-related vendors or platforms such as Arcadia, Cotiviti, Inovalon, or comparable systems, with the ability to communicate technical issues clearly to business, vendor, audit, project, and executive stakeholders.(preferred)
• Experience supporting an NCQA HEDIS compliance audit.(preferred)
• Knowledge of ECDS, digital HEDIS measures, FHIR, HIE integration, and clinical-data exchange

Keywords: LinkedIn , HEDIS, Cotiviti, Innovalan,Arcadia

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.