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

What you'll do:

You will ensure programs meet and exceed expectations by overseeing cross-functional clinical data program activities, timeliness, and internal quality control standards
- You will coordinate between internal Telligen program and analytic and technical teams
You will 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
- You will be responsible for ensuring accurate and timely delivery of measure results to client
You will ensure adherence to state and national standards
You will coordinate workflows and research activities to investigate the accuracy and completeness of data sources and other inputs needed for measurement
You will synthesize analytic insights with business questions and policy knowledge, and develop innovative solutions that support strategy development, program implementation, and evaluation
You will manage technical support channels to support internal and external customers
- You will provide guidance on measure interpretation and technical issues
You will perform miscellaneous duties as assigned

Required Skills and Experience:

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
Positions working specific contracts may require U.S. Citizenship
Because of the nature and immediacy of the work, the ability to maintain regular and predictable attendance is essential
Expertise in the subject matter of the program
Excellent verbal and written communication skills

Preferred Skills and Experience:

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

$100,000 - $130,000 a year

Who We Are:

Telligen is one of the most respected population health management organizations in the country. We offer clinical, analytical, and technical expertise to support local, Tribal, and national partners, state and federal government programs, and employers and health plans.

Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.

Our business is our people and we’re seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.

Are you Ready?

We’re on a mission to transform lives and economies by improving health.

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.

Thank you for your interest in Telligen!

While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.

Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.

Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.

Telligen is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, protected veteran status, disability or any other protected class.

Telligen is committed to ensuring that our employment process is open to all individuals, and provides reasonable accommodations to individuals who need assistance during any part of the employment process due to a disability, medical condition, or physical or mental impairment. Reasonable accommodations are considered on a case-by-base basis.

If you need assistance to navigate Telligen’s careers website or to apply for a position, please send an email to careers@telligen.com

Telligen

Program Manager

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