Manager, Quality Data

The Manager of Quality Data is an important role on the quality data team. This position will work closely with technical, clinical, and compliance personnel to ensure accurate and timely delivery of Healthcare Effectiveness Data and Information Set (HEDIS) and Survey data to regulatory entities, partners and other stakeholders. This position plays a key role in optimizing data procurement and streamlining operational processes for Extract, Transform, and Load (ETL). The manager in this role will be responsible for the performance of the HEDIS data analysts which includes Senior Data Analyst, Data Analysts and Survey Analysts. This position is responsible for data process regarding HEDIS and Surveys, including Member and Provider experience, Health Outcomes and others which together are used for National Committee for Quality Assurance (NCQA) accreditation and L.A. Care provider, group and plan partner performance management, which are high profile projects for L.A. Care. This position will create and maintains policies and procedures relevant to HEDIS and Survey data process involving rate calculations, reports and quality assurance checkpoints which may involve other L.A. Care teams. This position will also coordinates with vendors, provider groups and plan partners to maximize data completeness, analyzing quality data results to identify improvement opportunities. In addition to these responsibilities, this position works with product evaluation, reviews and manages the budget, accounts for variations, works with the legal advisor on review and vetting of proposals and contracts, participates in compliance audits such as State Department of Health Care Services (DHCS), HEDIS, NCQA and others as needed and will contribute to executive summary documentation and presentations on outcomes. The Manager participates in Quality Improvement initiatives and committee meetings. The Manager in this role will have a pivotal role in the success of L.A. Care as public reporting and data process efficiency are of utmost importance.