City/State
Norfolk, VAWork Shift
First (Days)Overview:
OverviewThe IT HEDIS Manager is responsible for leading the technology, data integration, platform operations, and technical validation functions that support the organization’s HEDIS program. This role manages ETL developers and operational support staff while serving as a key IT partner to HEDIS, Quality, business, vendor, audit, and project stakeholders. The manager oversees HEDIS data feeds, production operations, platform support, data-quality controls, technical documentation, vendor coordination, audit support, and reporting deliverables. This role will also support a major HEDIS engine replacement initiative, including migration from the current Inovalon/Cotiviti environment to a future-state platform with Arcadia supporting portions of HEDIS and NCQA-related functionality.Education- Bachelor’s degree in Information Technology, Computer Science, Data Management, Healthcare Administration, or a related field (Preferred)
- 7+ years relevant experience may be accepted in lieu of degree
- No specific certification or licensure requirements
- Seven or more years of experience in healthcare data, payer technology, analytics, data warehousing, quality measurement, HEDIS operations, or related IT functions (required )
- Three or more years of leadership experience managing ETL, data engineering, technical operations, analytics, production support, or similar teams, including direct oversight of staff (required)
- Experience supporting HEDIS data processing, reporting, validation, audits, quality-measurement platforms, or HEDIS engine implementation, replacement, migration, or parallel-validation activities(Required)
- Strong knowledge of payer enrollment, claims, encounters, pharmacy, provider, laboratory, clinical, supplemental data, ETL, SQL, data warehouses, Databricks, file-based integrations, APIs, testing, reconciliation, and production support.
- Experience working with HEDIS-related vendors or platforms such as Arcadia, Cotiviti, Inovalon, or comparable systems, with the ability to communicate technical issues clearly to business, vendor, audit, project, and executive stakeholders.(preferred)
- Experience supporting an NCQA HEDIS compliance audit.(preferred)
- Knowledge of ECDS, digital HEDIS measures, FHIR, HIE integration, and clinical-data exchange
Keywords: LinkedIn , HEDIS, Cotiviti, Innovalan,Arcadia
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Skills Required
- Seven or more years of experience in healthcare data, payer technology, analytics, data warehousing, quality measurement, HEDIS operations, or related IT functions
- Three or more years of leadership experience managing ETL, data engineering, technical operations, analytics, production support, or similar teams, including direct oversight of staff
- Experience supporting HEDIS data processing, reporting, validation, audits, or HEDIS engine implementation/replacement/migration/parallel-validation activities
- Strong knowledge of payer enrollment, claims, encounters, pharmacy, provider, laboratory, clinical, supplemental data, ETL, SQL, data warehouses, Databricks, file-based integrations, APIs, testing, reconciliation, and production support
- Experience working with HEDIS-related vendors or platforms such as Arcadia, Cotiviti, Inovalon, or comparable systems
- Experience supporting an NCQA HEDIS compliance audit
- Knowledge of ECDS, digital HEDIS measures, FHIR, HIE integration, and clinical-data exchange
- Bachelor's degree in Information Technology, Computer Science, Data Management, Healthcare Administration, or related field (or 7+ years relevant experience in lieu of degree)
Sentara Healthcare Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Sentara Healthcare and has not been reviewed or approved by Sentara Healthcare.
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Parental & Family Support — Four weeks of paid parental leave at full base pay and two weeks of job‑protected family caregiver leave support major life and care needs. Emergency back‑up care and reimbursements for infertility, adoption, and surrogacy further bolster family support.
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Retirement Support — A 401(A) plan alongside 403(B)/401(K) employer matching is designed to strengthen long‑term financial security. Company‑paid life insurance with buy‑up options adds additional protection for families.
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Flexible Benefits — Choice of medical plan designs and dental/vision options enables tailoring coverage to individual needs. An annual election between tuition assistance and student‑loan repayment offers flexibility to align with financial or education priorities.
Sentara Healthcare Insights
What We Do
Sentara Healthcare celebrates a 130-year history of innovation, compassion and community benefit. Based in Norfolk, VA, Sentara is a diverse not-for-profit family of 12 hospitals, an array of integrated services and a team of nearly 30,000 strong on a mission to improve health every day. This mandate is pursued through a disciplined strategy to achieve Top 10% performance in key measures through shared best practices, transformation of primary care through clinical integration and strategic growth that adds value to the communities we serve in Virginia and North Carolina.
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