Associate Director, Clinical Data Management

Ready to help us transform healthcare? Bring your true colors to blue. 

What we need

The Associate Director of Clinical Data Management will be a key leader in executing BCBSMA’s data & analytics strategy of becoming a data driven organization. The successful candidate will be responsible for leading the clinical data management function, providing strategic direction, and ensuring the delivery of high-quality, trustable clinical data to support key initiatives around quality, risk adjustment, medicare stars, and interoperability. This is a key leadership role that requires strong technical expertise, excellent communication and project management skills, and the ability to work collaboratively with cross-functional teams.

Your Day to Day

• Develop and execute a comprehensive clinical data strategy aligned with organizational goals.
• Lead the clinical data management function, including planning, execution, and delivery of clinical data management activities.
• Provide strategic direction and execute on payor & provider clinical data exchanges.
• Stay informed about emerging trends in clinical data management and leverage knowledge to enhance data strategies.
• Collaborate with cross-functional teams, including clinical operations, performance measurement, and risk adjustment, to execute on data procurement & usage strategies.
• Develop and implement clinical data management standards, processes, and procedures to ensure compliance with regulatory requirements and company policies.
• Ensure the accuracy, completeness, and integrity of clinical data, including data cleaning, data validation, and data analysis.
• Support and resolve vendor data integration issues, such as data mapping, transformation, and normalization.
• Collaborate with external vendors, providers, and partners to ensure the delivery of high-quality clinical data.
• Lead implementation of technology solutions with close partnership with business areas, architecture, engineering, product teams.
• Develop and maintain clinical data management metrics and reports to track performance and identify areas for improvement.
• Develop and implement data standards (HL7, FHIR, CCDAs) with focus on interoperability to enable seamless data exchange between systems and partners.

We’re Looking for:

• Deep knowledge of clinical data domain in context of healthcare providers (EHR, EMRs) and payors (Claims, Labs, ADTs, Quality measures).
• Excellent understanding and leadership experience in clinical data integration, data exchanges within and outside organization, technology implementations, industry standard frameworks for data sharing.
• Proven people management experience with managing mix of contractors and FTEs reporting members in the team.
• Collaborates with peers, leaders, and business stakeholders both internal and external for sharing/learning evolution of clinical data strategies and creative ways of solving business needs.
• Adopts and helps others to adopt changing needs of the organization in clinical data & interoperability domain.

What You Bring:

• Bachelors degree preferred
• 10+ years of experience in healthcare, clinical data integration/exchange, interoperability related roles.
• 5+ years of experience with health insurance.
• 5+ years of experience in leadership and people management

What You’ll Gain:

It is our mission at Blue Cross Blue Shield of Massachusetts to foster a culture that enables associates to do their best work while living happy and healthy lives. That's why we offer you a variety of ways to support your best physical, emotional, financial, and social well-being. For more information on our benefit offerings, visit https://careers.bluecrossma.org/us/en/benefits

Minimum Education Requirements:

High school degree or equivalent required unless otherwise noted above

Location

Boston

Time Type

Full time

Salary Range: $162,000.00 - $198,000.00

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting.  We may ultimately pay more or less than the posted range, and the range may be modified in the future.  An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs an