Job ID: NC-802373 (97790623)
Hybrid/Local Medicaid/HIX BA/PM (12+) with Business Integration, data policy/quality, clinical workflow/coding, EHR, digital quality measurement experience
Location: Raleigh NC (NCDHHS-HB)
Duration: 12 Months
Skills:
Understanding of data policy and the healthcare data ecosystem; health information technology; program monitoring; and/or quality measurement Required 3 Years
Experience leading large, complex projects Required 3 Years
Excellent critical thinking, problem solving, and project management skills Required 3 Years
Experience managing or supervising other staff members Desired 2 Years
Demonstrated ability to communicate complex material in a clear and concise manner both verbally and in writing Required 3 Years
Flexibility to adapt to shifting priorities and needs of multiple stakeholders Required 3 Years
Strong proficiency in Microsoft Office products, including Excel, Outlook, PowerPoint, and Word Required Years
Familiarity with Medicaid and health care and associated rules, regulations, and standards Desired 2 Years
Knowledge and demonstrated experience in the analysis of population health delivery models, care delivery models, care management models Desired 2 Years
Understanding of clinical workflows and/or familiarity with medical coding and electronic health records Desired 2 Years
Understanding of digital quality measurement Desired 2 Years
Description:
Business Integration Specialist Mid
Although this position works on a technology-related project, it is not a technical position but rather a strategic one. A successful candidate will demonstrate vision, clear communication, strong leadership, creative problem-solving, and the ability to cultivate relationships.
Responsibilities include, but are not limited to:
· Serve as the primary lead of QPHE’s project to leverage NC HealthConnex for quality and population health, including finalizing the project design and developing a strategy around future phases of work.
· Lead policy and financial strategy related to this initiative, including developing and implementing a strategy to support provider organizations in participating in this initiative
· Cultivate relationships across key partners, including with the Health Information Exchange Authority, Medicaid population health and quality measurement subject matter experts, Medicaid analysts, Medicaid technology experts, and vendors.
· Collect and synthesize information and feedback from internal and external stakeholders, including Prepaid Health Plans, providers, and other divisions in NCDHHS, and use it to inform decision-making.
· Supervise 1-2 full-time staff members supporting this initiative
· Manage budgeting, invoicing, and contracting as needed
Desired Professional and Technical Expertise
Qualified applicants must document on the application that they possess all of the following:
· Understanding of data policy and the healthcare data ecosystem; health information technology; program monitoring; and/or quality measurement and quality improvement
· Experience leading large, complex projects
· Excellent critical thinking, problem solving, and project management skills
· Demonstrated ability to communicate complex material in a clear and concise manner both verbally and in writing
· Demonstrated skill in creating and maintaining collaborative working relationships with internal and external stakeholders
· Flexibility to adapt to shifting priorities and needs of multiple stakeholders
· Strong proficiency in Microsoft Office products, including Excel, Outlook, PowerPoint, and Word
The following expertise is preferred, but not required:
· Familiarity with Medicaid and health care and associated rules, regulations, and standards
· Knowledge and demonstrated experience in the analysis of population health delivery models, care delivery models, care management models, clinical program innovations, quality improvement initiatives, and system redesign
· Understanding of clinical workflows and/or familiarity with medical coding and electronic health records
· Understanding of digital quality measurement
Skill Required /Desired Amount of Experience
Understanding of data policy and the healthcare data ecosystem; health information technology; program monitoring; and/or quality measurement and quality improvement Required 3 Years
Experience leading large, complex projects Required 3 Years
Excellent critical thinking, problem solving, and project management skills Required 3 Years
Demonstrated ability to communicate complex material in a clear and concise manner both verbally and in writing Required 3 Years
Flexibility to adapt to shifting priorities and needs of multiple stakeholders Required 3 Years
Strong proficiency in Microsoft Office products, including Excel, Outlook, PowerPoint, and Word Required 3 Years
Experience managing or supervising other staff members Desired 2 Years
Familiarity with Medicaid and health care and associated rules, regulations, and standards Desired 2 Years
Knowledge and demonstrated experience in the analysis of population health delivery models, care delivery models, care management models, clinical program innovations, quality improvement initiatives, and system redesign Desired 2 Years
Understanding of clinical workflows and/or familiarity with medical coding and electronic health records Desired 2 Years
Understanding of digital quality measurement Desired 2 Years