Sr Director, Operational BI and Data Integrity jobs in United States
cer-icon
Apply on Employer Site
company-logo

Lumeris · 3 months ago

Sr Director, Operational BI and Data Integrity

Lumeris is a company dedicated to transforming the healthcare industry, seeking talented individuals to join their mission. The Sr Director, Operational BI and Data Integrity will provide strategic oversight and direction for the department, focusing on optimizing efficiencies and ensuring compliance while enhancing customer experiences. This role involves leading a cross-functional team, driving process improvements, and leveraging data to inform operational strategies.

ConsultingHealth CareInformation Technology

Responsibilities

Develops, implements, and guides strategic direction for the department/function(s). Oversees, coaches, mentors, motivates, supports, and develops a cross-functional team of seasoned people leaders with a broad scope. Oversees goal setting/review, regular guidance and 1-1 check ins, career development/planning, upskilling, resource allocation, staffing, budget creation/management, succession planning, DE&I initiatives, and other People & Culture programs/activities as needed. Fosters accountability, collaboration, and innovation to ensure organizational goals are met
Promotes innovation, quality, process improvements, knowledge sharing, and implementation of best practices. Develops and oversees cross-functional workflows to identify the scope and timing of deliverables
Researches and implements new strategies and techniques to ensure the organization remains at the forefront of best practices
Accountable for all areas of cross-functional delivery to meet customer contractual obligations and/or service levels, maximize customer satisfaction, monitor performance and operational metrics, and ensure delivery is on time and on budget
Develops and aligns operational metrics and goals to meet
Cultivates a working culture rooted in the company’s mission, vision, and core values including accountability for customer, member, and partner experience. Creates meaningful impact on process improvements across all aspects of the department
Uses data and metrics to identify and create new policies and amend existing policies to improve operations. Presents recommendations on the operations of the organization and proposes changes to mitigate risk and facilitate future growth
Leverages technology to streamline efficiencies and provide innovative solutions. May participate in the evaluation of key third party software utilization
Maintains working knowledge and compliance of any local, state, and national regulations identified as regulatory requirement
Ensures programs are established to comply with all relevant federal, state and local regulations
Forecasts, creates, and maintains annual budgets, reviewing on a monthly and quarterly basis
Acts as a liaison for the organization and/or department. Delivers presentations tailored to effectively convey strategy and outcomes at all levels
Creates and maintains strategic relationships and searches for ways to extend and expand business relationships
May provide operational oversight of third party vendors including participating in the negotiation, research, review and approval of all applicable contracts and external vendors. Maintains relationships as it relates to direct operational and cost efficiencies
Partners with People & Culture to improve the team member experience, promote team member development, master workforce planning, oversee performance management, and improve overall team member engagement and retention

Qualification

Healthcare industry experiencePeople leadershipStrategic planningProject managementMicrosoft Office SuiteMedical information systemsTeam building skillsCommunication skillsCollaboration skills

Required

Bachelor's Degree in related field or equivalent
15+ years of relevant experience in related field within Healthcare industry or the knowledge, skills, and abilities to succeed in the role
Significant people leadership experience with the proven ability to guide, develop, support, mentor, and coach a team of executives
Mastery of applicable specialty (value-based care models, Medicare Advantage, NCQA Accreditation, Fulfillment, logistics, vendor management, etc.)
Working knowledge of medical information systems, medical terminology and coding, managed care, and Medicare and Medicaid programs
Phenomenal leadership, collaboration, and team building skills with the proven ability to oversee, coach, develop, support, empower and motivate a large cross-functional team
Excellent business acumen with the proven ability to foster relationships, gain credibility, influence, and partner internally and externally
Proficiency in Microsoft Office Suite and project management software with the ability to learn, understand, and apply new technologies
Exceptional project management skills with a distinguished ability to create results in a high-performing and high-growth environment
Excellent strategic planning skills and strong operational focus
Outstanding communication, facilitation, and presentation skills, both written and verbal, including the ability to influence and impact results at levels internally and externally
Proven ability to identify and define business problems and issues and develop strategic and financial frameworks to ensure mitigated risk
Strong understanding of the current and future state of the healthcare industry

Preferred

Master's degree

Benefits

Medical, Vision and Dental Plans
Tax-Advantage Savings Accounts (FSA & HSA)
Life Insurance and Disability Insurance
Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
Employee Assistance Program
401k with company match
Employee Resource Groups
Employee Discount Program
Learning and Development Opportunities
And much more...

Company

Lumeris is an accountable care delivery innovation company that offers operational support, technology, and consulting services.. It is a sub-organization of Essence Group Holdings.

Funding

Current Stage
Late Stage
Total Funding
$325.26M
Key Investors
Deerfield
2024-04-10Series A· $100M
2023-11-06Debt Financing· $50M
2016-04-01Series Unknown· $80M

Leadership Team

leader-logo
Julie Hammes
SVP of People & Culture
linkedin
leader-logo
David Carmouche
Executive VP and Chief Clinical Transformation Officer
linkedin
Company data provided by crunchbase