Director of Informatics

Under the support and guidance of the Vice President of Informatics, the Director of Informatics is responsible for the development, production, preparation, and analysis of various reports related to projects assigned to the Department of Informatics. This individual will work under the direction of the Vice President of Informatics to oversee the work of Managers and Analysts, supervise analyses conducted by the Department of Informatics, and provide research guidance to answer operational questions in a timely manner. The Director of Informatics may also conduct analyses by extracting data from claims and pharmacy databases, clinical information systems, as well as to create new variables for analysis from data residing in detailed claims, eligibility, pharmacy, and clinical data sets.
RESPONSIBILITIES INCLUDE:
Defines project scope and data requirements.
Represents the Department of Informatics to others within and outside of the organization.
Participates in tactical and strategic decision making.
Coordinates the flow of work within the department.
Manages projects, resources, and associated deliverables.
Supervises data collection or extraction efforts.
Supervises the analysis of data, applying the appropriate business or contract rules, in order to evaluate the outcomes and effectiveness of DM interventions Oversees the work of Managers and Analysts while providing guidance on appropriate measurement or business rules
Leads, directs, develops and assesses performance of all research personnel.
Organizes materials, analyses, and assignments for staff.
Manages 1 - 5 individuals.Tasks Include:
Meets with other departments, as needed, to define analytical needs.
Meets with others outside of the organization to coordinate work efforts.
Presents research findings at meetings or conferences.
Schedules meetings, tasks, and assignments to organize the work for others.
Identifies relationships and trends in data, as well as any factors that could affect the results of research.
Plans data collection methods for specific projects, and determines the population for analysis.
Prepares and presents summaries of final reports.
Defines metrics and applies appropriate measurement procedures
Validates reporting specifications and confirm reliability of data reports.
Assists with and trains Managers and Analysts in new software and techniques.
Provides analytical guidance to Managers, Analysts, and other departments.
Performs accurate and complete data extraction from claims and pharmacy databases or clinical information systems to meet project requirements.
Examines data sets in order to verify completeness and accuracy.
Writes accurate code to produce metrics or conduct analyses.
Utilizes mathematical procedures to produce accurate analyses and associated reports.
Performs or oversee data mining activities.
Verbally explains research findings to internal and external customers as needed.
Organizes paperwork such as executive summaries and other reports for distribution.
Other duties as assigned by the Vice President of InformaticsKnowledge, Skills, and Experience Required:
Demonstrate an expert level of computer skills in SQL, Microsoft Access, Excel, and/or SAS.
Demonstrate advance skill in mathematical reasoning, including the ability to use logic and build functions or equations.
Demonstrate expertise with such databases as Oracle, SQL Server, etc.
Expertise with software packages used to manipulate large databases and datasets.
Experience with data cleaning and data validation methodologies.
Knowledge on converting datasets from one form to another for analyses (i.e., from excel to oracle).
Knowledge of data associated with standard health care claim forms (e.g., UB-92, HCFA 1500, Pharmacy, Lab).
Detailed knowledge of medical coding systems (e.g., ICD-9, CPT, HCPCs, NDC)
Knowledge of appropriate programming and manipulation of eligibility files.
Experience in preparing datasets for use in ACG analysis.
Ability to multi-task and work on several different projects simultaneously without confusion.
Knowledge of standard healthcare reporting metrics.
Excellent written and verbal communication skills.
Excellent judgment and decision making skills.
Strong mentoring and team building skills.
Very strong management skills, particularly in managing one's own time as well as the time of others, and the ability to plan and organize assignments for others.OVERALL QUALIFICATIONS:
The successful candidate will have outstanding mathematical and programming skills, with an emphasis on the application of these skill to a business and finance setting. The individual must also be able to conduct analyses on a multitude of levels and prepare reports for diverse audiences. This colleague must have an instinctive ability to anticipate research requirements, be passionate about quality of work, and diligent about performance monitoring.
The successful candidate will understand and have a commitment to the philosophy, mission, values and vision of Healthways. The qualified individual will be able to demonstrate these values with his/her leadership practices. This individual will also possess both a professional integrity and demeanor, and be a professional representative of Healthways'. Strong analytical, mathematical, and business/ finance skills are all extremely important.EXPERIENCE AND QUALIFICATIONS:
A minimum of a bachelor's degree in a Finance, Accounting, Business, or a related field, Master's preferred.
Skills and Experience
5-10 years experience in finance, accounting, and data analysis and reporting, (preferably healthcare related).
A minimum of 5 years experience in managing others.
Demonstrates experience in application of applied analytical skills in a business setting.
Knowledge of HWAY business rules and reporting metrics.
Advanced SQL programming experience.
Demonstrates exceptional oral and written skills.
Demonstrates proficiency with data analysis and ability to organize data in support of reporting needs.
Computer competencies to include word processing, spreadsheet, presentation preparation, and data base management.
Ability to work with individuals at all levels within the company, as well as consultants and external contacts.
Strong leadership and decision making skills.
Strong problem solving ability, including the ability to work on complex problems, review related information, and develop/ evaluate options and implement solutions.
Inductive and deductive reasoning skills.
Strong ability to order information by arranging things or actions in a certain order or pattern according to a specific rule or set of rules.
ACGs software experience. Travel Requirements
Minimal.PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is required to: type using a computer keyboard; visually read information off of a computer monitor; stand, sit, walk; talk, orally communicate information in person and over the telephone, and hear.
WORK ENVIRONMENT:
Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position, the colleague could be exposed to outdoor weather conditions. Noise level may vary from light to moderate depending on the location.CRITERIA FOR PERFORMANCE EVALUATION:
Performance evaluation will be based on the Director of Informatics' ability in meeting the criteria outlined herein; contributing to meeting the goals and accomplishments of the overall care enhancement programs and of Healthways, Inc. in general.POSITION TO WHICH THE Director of Informatics REPORTS:
Vice President of Informatics.JOB DESCRIPTION STATUS:
The duties and responsibilities listed in this job description are illustrative ones anticipated for this position. Other duties and responsibilities may be assigned as required. Healthways, Inc. reserves the right to amend or change this job description to meet the needs of its programs. This job description and any attachments do not constitute or represent a contract.
REQUIREMENTS


RESPONSIBILITIES INCLUDE:

1. Defines project scope and data requirements.

2. Represents the Department of Informatics to others within and outside of the organization.

3. Participates in tactical and strategic decision making.

4. Coordinates the flow of work within the department.

5. Manages projects, resources, and associated deliverables.

6. Supervises data collection or extraction efforts.

7. Supervises the analysis of data, applying the appropriate business or contract rules, in order to evaluate the outcomes and effectiveness of DM interventions
8. Oversees the work of Managers and Analysts while providing guidance on appropriate measurement or business rules

9. Leads, directs, develops and assesses performance of all research personnel.

10. Organizes materials, analyses, and assignments for staff.

11. Manages 1 - 5 individuals.

Tasks Include:

1. Meets with other departments, as needed, to define analytical needs.

2. Meets with others outside of the organization to coordinate work efforts.

3. Presents research findings at meetings or conferences.

4. Schedules meetings, tasks, and assignments to organize the work for others.

5. Identifies relationships and trends in data, as well as any factors that could affect the results of research.

6. Plans data collection methods for specific projects, and determines the population for analysis.

7. Prepares and presents summaries of final reports.

8. Defines metrics and applies appropriate measurement procedures

9. Validates reporting specifications and confirm reliability of data reports.

10. Assists with and trains Managers and Analysts in new software and techniques.

11. Provides analytical guidance to Managers, Analysts, and other departments.

12. Performs accurate and complete data extraction from claims and pharmacy databases or clinical information systems to meet project requirements.

13. Examines data sets in order to verify completeness and accuracy.

14. Writes accurate code to produce metrics or conduct analyses.

15. Utilizes mathematical procedures to produce accurate analyses and associated reports.

16. Performs or oversee data mining activities.

17. Verbally explains research findings to internal and external customers as needed.

18. Organizes paperwork such as executive summaries and other reports for distribution.

19. Other duties as assigned by the Vice President of Informatics

Knowledge, Skills, and Experience Required

Demonstrate an expert level of computer skills in SQL, Microsoft Access, Excel, and/or SAS.

Demonstrate advance skill in mathematical reasoning, including the ability to use logic and build functions or equations.

Demonstrate expertise with such databases as Oracle, SQL Server, etc.

Expertise with software packages used to manipulate large databases and datasets.

Experience with data cleaning and data validation methodologies.

Knowledge on converting datasets from one form to another for analyses (i.e., from excel to oracle).

Knowledge of data associated with standard health care claim forms (e.g., UB-92, HCFA 1500, Pharmacy, Lab).

Detailed knowledge of medical coding systems (e.g., ICD-9, CPT, HCPCs, NDC)

Knowledge of appropriate programming and manipulation of eligibility files.

Experience in preparing datasets for use in ACG analysis.

Ability to multi-task and work on several different projects simultaneously without confusion.

Knowledge of standard healthcare reporting metrics.

Excellent written and verbal communication skills.

Excellent judgment and decision making skills.

Strong mentoring and team building skills.

Very strong management skills, particularly in managing one's own time as well as the time of others, and the ability to plan and organize assignments for others.

OVERALL QUALIFICATIONS:

The successful candidate will have outstanding mathematical and programming skills, with an emphasis on the application of these skill to a business and finance setting. The individual must also be able to conduct analyses on a multitude of levels and prepare reports for diverse audiences. This colleague must have an instinctive ability to anticipate research requirements, be passionate about quality of work, and diligent about performance monitoring.

The successful candidate will understand and have a commitment to the philosophy, mission, values and vision of Healthways. The qualified individual will be able to demonstrate these values with his/her leadership practices. This individual will also possess both a professional integrity and demeanor, and be a professional representative of Healthways'. Strong analytical, mathematical, and business/ finance skills are all extremely important.

EXPERIENCE AND QUALIFICATIONS:

1. A minimum of a bachelor's degree in a Finance, Accounting, Business, or a related field, Master's preferred.

2. Skills and Experience

? 5-10 years experience in finance, accounting, and data analysis and reporting, (preferably healthcare related).

? A minimum of 5 years experience in managing others.

? Demonstrates experience in application of applied analytical skills in a business setting.

? Knowledge of HWAY business rules and reporting metrics.

? Advanced SQL programming experience.

? Demonstrates exceptional oral and written skills.

? Demonstrates proficiency with data analysis and ability to organize data in support of reporting needs.

? Computer competencies to include word processing, spreadsheet, presentation preparation, and data base management.

? Ability to work with individuals at all levels within the company, as well as consultants and external contacts.

? Strong leadership and decision making skills.

? Strong problem solving ability, including the ability to work on complex problems, review related information, and develop/ evaluate options and implement solutions.

? Inductive and deductive reasoning skills.

? Strong ability to order information by arranging things or actions in a certain order or pattern according to a specific rule or set of rules.

? ACGs software experience.

3. Travel Requirements

? Minimal.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is required to: type using a computer keyboard; visually read information off of a computer monitor; stand, sit, walk; talk, orally communicate information in person and over the telephone, and hear.
WORK ENVIRONMENT:

Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position, the colleague could be exposed to outdoor weather conditions. Noise level may vary from light to moderate depending on the location.

CRITERIA FOR PERFORMANCE EVALUATION:

Performance evaluation will be based on the Director of Informatics' ability in meeting the criteria outlined herein; contributing to meeting the goals and accomplishments of the overall care enhancement programs and of Healthways, Inc. in general.

POSITION TO WHICH THE Director of Informatics REPORTS:

Vice President of Informatics.

JOB DESCRIPTION STATUS:

The duties and responsibilities listed in this job description are illustrative ones anticipated for this position. Other duties and responsibilities may be assigned as required. Healthways, Inc. reserves the right to amend or change this job description to meet the needs of its programs. This job description and any attachments do not constitute or represent a contract.