16 days old

Senior Manager Health Information Exchange

Irvine, CA 92606
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  • Job Code
    865354

 

The Senior Manager, HIE-EDI Solutions is accountable for assuring the effective oversight of the Monarch HealthCare HIE, Health Information Exchange and EDI, Electronic Data Interchange solutions and operations. This position works collaboratively within the EHR, Electronic Health Record and Information Services Departments in the provision of innovative, cost effective HIE and EDI programs and solutions.

 

 Primary Responsibilities:

  • Provides day-to-day management and coordination of HIE and EDI operations and activities, including systems functions, interface configuration, quality standards, security/privacy and compliance requirements, implementation support, utilization analysis, including identifying and solving problems that delay the optimal function and achievement of deliverables and assistance in planning and implementing the architecture for HIE and EDI ongoing operations and expansion.
  • Develops strategies for the ongoing support and maintenance of the Monarch HealthCare HIE and EDI solutions including the development of feedback mechanisms from participants and end-users including the development of reporting tools, additionally,  develops and presents the concept and content of the HIE program to internal and external stakeholders, in a cohesive, meaningful and professional manner
  • Provide management and development of staff that support HIE and EDI operations, including performance appraisals, monitoring and coaching each individual staff member and supporting the development of the HIE/EDI team within the context of the broader EHR and IT departments.
  • Oversee the quality of technical service provided to/from HIE's participants by external vendors, ensuring maximum system availability, performance and response to users' support requirements. Act as technical liaison to a variety of audiences and stakeholders, including vendor and HIE and EDI participants and users
  • Ensure project objectives are being achieved; maintain all project deliverables and responsibilities; prepare written reports, workflow analysis, and operational documentation, including thorough documentation of the HIE architecture solutions as required.
  • Responsible for effectively overseeing the HIE connectivity components including the clinical portal and the data interfaces with the various participants.  Coordinate the troubleshooting of connectivity and interface issues to insure their correction.
  • Responsible for overseeing EDI, for 837 and 835 claim and encounter submissions working closely with business operations and other Monarch and health plan participants and users
  • Ensure project objectives are being achieved; maintain all project deliverables and responsibilities; prepare written reports, workflow analysis, and operational documentation, including thorough documentation of the HIE architecture solutions as required.
  • Responsible for effectively overseeing the HIE connectivity components including the clinical portal and the data interfaces with the various participants.  Coordinate the troubleshooting of connectivity and interface issues to insure their correction.
 

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.


 

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Posted: 2020-05-15 Expires: 2020-06-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Senior Manager Health Information Exchange

UnitedHealth Group
Irvine, CA 92606

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