IT HEDIS & Analytics Manager

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

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off and Sick Leave

401k/403B with Employer Match

Tuition Assistance

Job summary

Sentara Health Administration, Inc. seeks an IT HEDIS Manager to lead technology, data integration, and platform operations that support the organization’s HEDIS program in Norfolk, VA.

The role oversees ETL teams, data feeds, validation, and reporting, and partners with vendors, audits, and stakeholders on major HEDIS engine migration efforts. Qualified candidates have seven+ years in healthcare data/IT with at least three years in leadership overseeing ETL and data operations, plus strong SQL,

Qualifications

• Seven or more years of experience in healthcare data, payer technology, analytics, data warehousing, quality measurement, HEDIS operations, or related IT functions.
• Three or more years of leadership experience managing ETL, data engineering, technical operations, analytics, production support, or similar teams.

Responsibilities

• Lead the technology, data integration, platform operations, and technical validation functions for the organization’s HEDIS program.
• Oversee HEDIS data feeds, production operations, platform support, data-quality controls, and reporting deliverables.
• Coordinate with vendors, audits, and project stakeholders to support HEDIS engine replacement initiatives (Arcadia/Cotiviti/Inovalon migration).
• Manage ETL developers and operation staff and serve as IT partner to HEDIS, Quality, and business teams.

Skills

Leadership

ETL

HEDIS operations

SQL

Education

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

Tools

Databricks

APIs

ETL tools

Job description

City/StateNorfolk, VAWork ShiftFirst (Days)Overview:OverviewThe 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.EducationBachelor’s degree in Information Technology, Computer Science, Data Management, Healthcare Administration, or a related field (Preferred)or7+ years relevant experience may be accepted in lieu of degreeCertification/LicensureNo specific certification or licensure requirementsExperienceSeven 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 exchangeKeywords: LinkedIn , HEDIS, Cotiviti, Innovalan,ArcadiaBenefits: Caring For Your Family and Your CareerMedical, Dental, Vision plansAdoption, Fertility and Surrogacy Reimbursement up to $10,000Paid Time Off and Sick LeavePaid Parental & Family Caregiver LeaveEmergency Backup CareLong-Term, Short-Term Disability, and Critical Illness plansLife Insurance401k/403B with Employer MatchTuition Assistance – $5,250/year and discounted educational opportunities through Guild EducationStudent Debt Pay Down – $10,000Reimbursement for certifications and free access to complete CEUs and professional developmentPet InsuranceLegal Resources PlanColleagues 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.