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Manager Provider Data Management – Managed Care - (LA8996)

3 Key Consulting
Los Angeles, CA Full Time
POSTED ON 11/9/2024 CLOSED ON 1/8/2025

What are the responsibilities and job description for the Manager Provider Data Management – Managed Care - (LA8996) position at 3 Key Consulting?

Job Title:  Manager Provider Data Management – Managed Care - (LA8996)
Location: Los Angeles, CA. 90017
Duration: 3 months with possible extensions OR conversion to permanent
Business Unit: Provider Data Management
Employment Type:  Contract
Posting Date: 02/16/2023
Notes: Only qualified candidates need apply.

3 Key Consulting is recruiting a Manager Provider Data Management for a consulting engagement with our direct client, a leading global biopharmaceutical company.

Job Description:
The Manager of Provider Data Services provides leadership, supervision, and direction to support the operation and analytic functions of Provider Data Services unit's daily operations, including developing and applying departmental strategies; co-leads or leads enterprise-wide data management initiatives. The Manager participates as a liaison between client and its external and internal business partners to support business imperatives and data analysis and to drive positive business outcomes. 

 This position supports client’s leadership's strategy and drives the execution and operation of:
  • Provider Network Management.
  • Provider Data Management.
  • Medi-Cal Business partner’s Account Management team.

Through a systematic and disciplined approach, the Manager oversees and manages technical deliverables to ensure data production and processing meets the enterprise's specifications, furthermore the Manager will work strategically with client’s leadership to provide analytical information in support of the organization's strategic goals.  

The Manager, Provider Data Services has a strong knowledge of the healthcare market and technical capacity to ensure alignment of health plan operation, policies, regulatory requirements and implementation of IT data analytical services. 

Top Must Have Skill Sets:
  • 5-7 years of direct experience developing complex data processing tasks
  • 3 years health care experience
  • 3 years of progressive Supervisory experience

Day to Day Responsibilities:
  • Ability to understand business needs and translate those needs into specific requirements in both accurate business and technical terminologies based on the audience.
  • Excellent analytical thinking and ability to perform root cause analysis.
  • Drives work progress through strong leadership skills and ability to leverage healthcare and IT knowledge to drive outcomes.
  • Ability to plan for and articulate decision impacts across business processes and applications.   Perform other duties as assigned.

Basic Qualifications:
  • Bachelor's Degree in Information Systems or Related Field In lieu of degree, equivalent education and/or experience may be considered.
  • 5-7 years of direct experience developing complex data processing tasks - ETL, data manipulation, and data build in RDBMS with multi-millions to billions’ data records (1 TB data volume).  
  • 5-7 years of data quality management and data analytical experience.
  • 3-5 years of healthcare experience.
  • 3-4 years of progressive supervision and management experience.
  • 3 years of IT application end-to-end (raw data to UI) development work experience.
  • 2 years of data modeling experience. 
  • 2 years of project/program management experience. 
  • 2 years of BPM and business process improvement experience.
  • Experience on BI tools.
  • Experience on NoSQL environment.  

Preferred Qualifications:
  • Master's Degree in Information Systems or Related Field
  • Experience working with managing programs or other managerial experience.
  • Managed care experience.
  • Data management experience in Master Data Management (MDM) - data model and business rules.
  • Experience of vendor management (software and workforce) experience.
  • Experience of procurement management in contract negotiation, Request of Proposal (RFP), Master Service Agreement (MSA), Statement of Work (SOW) creation.
  • Data management experience in Master Data Management (MDM) - data model and business rule.

Interview Process:
First interview with Director and second with team

We invite qualified candidates to send your resume to resumes@3keyconsulting.com.  If you decide that you’re not interested in pursuing this particular position, please feel free to take a look at the other positions on our website www.3keyconsulting.com/careers. You are also welcome to share this opportunity with anyone you think might be interested in applying for this role.

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