Program Manager

Telligen • Winnipeg, MB

4d • Remote

About The Position

As a Program Manager of Clinical Data and Measurement you will be responsible for providing program leadership on complex healthcare measurement projects, analytic deliverables and technical implementations for a state Medicaid program. You will work collaboratively with all entities involved in the program and will serve as a liaison between Telligen project leadership and the customer. You will bring a strong blend of project experience, technical expertise, healthcare knowledge, and leadership capabilities to drive our quality measurement initiatives.
This position is primarily remote; however, applicants must reside in a state where Telligen is authorized to conduct business, including Colorado, Iowa, Illinois, Maryland, Massachusetts, and Pennsylvania.
Telligen will consider internal employees in other states

Requirements

• Four-year degree in Health Information Systems, health care, Public Health, Health Administration, or a related field, and/or equivalent training and/or experience
• Demonstrated excellence in written and verbal communication with customers, business partners, and key stakeholders
• Demonstrated ability to critically evaluate data quality
• Demonstrated experience with healthcare data which may include electronic health records (EHR), electronic Clinical Quality Measures (eCQMs), and/or claims
• Applied knowledge of healthcare quality measurement, value-based payment programs, and regulatory reporting, which may include HEDIS, CMS Core Measures, the Joint Commission (TJC)
• Intermediate knowledge of Excel
• 3+ years leading projects
• Expertise in the subject matter of the program
• Excellent verbal and written communication skills

Nice To Haves

• Demonstrated expertise in Medicaid claims data including Member, Enrollment, Provider, Lab, Visits, Pharmacy, etc
• Master’s degree in health information systems, health care, Public Health, Health Administration, or a related field
• Experience with data analysis using quality measurement and Medicaid claims

Responsibilities

• Ensure programs meet and exceed expectations by overseeing cross-functional clinical data program activities, timeliness, and internal quality control standards
• Coordinate between internal Telligen program and analytic and technical teams
• Serve as a subject matter expert and lead a large portfolio of clinical data measures. This includes gathering and defining business requirements, providing analytic insights, and managing technical and analytic direction for various projects
• Ensure accurate and timely delivery of measure results to client
• Ensure adherence to state and national standards
• Coordinate workflows and research activities to investigate the accuracy and completeness of data sources and other inputs needed for measurement
• Synthesize analytic insights with business questions and policy knowledge, and develop innovative solutions that support strategy development, program implementation, and evaluation
• Manage technical support channels to support internal and external customers
• Provide guidance on measure interpretation and technical issues
• Perform miscellaneous duties as assigned

Benefits

• Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.
• Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.
• Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.
• Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree