Inovalon

Director, Clinical Quality, Training, Oversight and Innovation

Remote- United States · Director

No sponsorship$132k-$176kDetected 5 days ago

NLPComplianceBusiness DevelopmentEmployment LawHIPAAEHR/EMRICD-10LeadershipCollaborationMicrosoft Office

About the role

Serve as subject matter expert for risk-adjustment and HEDIS for the company, engaging frequently in client services functions as well as business development and marketing.
Participate in industry conferences as an expert presenter.
This includes initial development and annual updates of all training materials annually or more frequently as appropriate.

Serve as an internal resource to drive and maintain Inovalon's thought leadership in the RA and HEDIS industry.
Responsible for execution of all Joint Quality Audit processes across RA and HEDIS clients, including promoting appropriate contractual language as permitted by Product leads.
Responsible (in collaboration with relevant teams, such as Innovation) for design and execution of clinical quality oversight processes for ensuring clinical and regulatory validity of records received through EMR interoperability capabilities.
Maintain compliance with lnovalon's policies, procedures and mission statement.
Serve as clinical liaison to the Innovation team, collaborating to drive development and promotion of new market capabilities in the context of data abstraction (such as NLP).
In addition, this position assists the Innovation team in performing its due diligence around onboarding new EMR partners to ensure CDE meets all clinical and regulatory requirements for use by Inovalon and its clients.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Active RN license required with a minimum of 12+ years of relevant overall experience, and 6 years high level management experience, preferably in a Director level or higher role required
Minimum of 5 years' experience in quality and/or compliance required
The employee is regularly required to sit, talk, and hear for extended periods of time, and also required to repetitively use manual labor to operate a computer keyboard and other office equipment.
Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions)

Outstanding attention to detail with the ability to set priorities and work on multiple tasks simultaneously;
Strong computer skills required, specifically with Microsoft Office and data collections tools;
Ability to manage and meet deadlines;
Strong interpersonal skills; and
Professionally skilled in verbal and written communication.
Serve as clinical expert in development/improvement of all tools/systems related to medical data abstraction.

This includes initial development and annual updates of all training materials annually or more frequently as appropriate.

The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity.

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics.
At Inovalon, we believe that when our customers are successful in their missions, healthcare improves.
Therefore, we focus on empowering them with data-driven solutions.
And the momentum is building.
Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare's greatest needs.
Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.
Fulfill those responsibilities and/or duties that may be reasonably provided by lnovalon for the purpose of achieving operational and financial success of the Company.

This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3).

This listing is sourced directly from Inovalon's careers page and normalized into a canonical job model.