Manages and/or provides expertise within a healthcare claims data management function, usually with responsibility for one specific area of focus. Supports the Quality Indicator Development team by carrying out and overseeing programming activities of internal programmers and ensuring timely and accurate programming and validation activities for the development and maintenance of HBI’s inventory of Clinical Indicators.

Principal Accountabilities:
Provides expert subject matter expertise on healthcare claims data management, providing guidance and advice. Interacts with marketing, client services, production, and development to achieve desired outcomes and to ensure related timelines are met for producing outputs of clinical quality indicators, final output data sets, tables, graphs, and maintaining standards for programming activities. Provides programming and validation support for clinical quality indicators and supplies feedback to the Data Management team.  Accesses and converts data to and from SAS, from PC file formats (e.g. MS Excel, text files). Advises relevant parties on impact of data changes and recommends course of action. Provides input to development projects relating to new client offerings or to new production/service methods. May plan, organize, manage, and control the activities of a healthcare claims data management activity or team within a specific area of focus. May manage projects or sections of data projects (depending on the size and complexity) and report on progress and issues. May undertake specific activities to ensure accuracy and completeness of healthcare claims data and ensure compliance with agreed data standards across IMS.

Minimum Education, Experience, & Specialized Knowledge Required:
Masters degree or Ph.D. or equivalent in Statistics, Mathematics, Information Technology or Bio-informatics preferred with a minimum of six (6) years experience in a relevant organization. Must have experience with healthcare terminology, concepts, and practices and extensive experience with large administrative healthcare claims datasets. Management experience in a SAS programming environment and experience using SAS-Base, MACRO, STAT, GRAPH, ACCESS, and MS Office is necessary. Base and Advanced SAS certification required.

Organization Reporting and Scope:
• Typically reports to:  Dir, Operations, Payer Solutions
• Management scope (number of full-time employees): 5-7
• Annual revenue scope (If applicable) $M:

Additional Requirements:
Demonstrated organizational skills required to oversee a project from concept to completion. Strong verbal, written, and interpersonal communication skills are necessary. Good judgment, demonstrable initiative to resolve issues, and the ability to interact well with professional clients is required.