Job Alert: Director of Business Intelligence

Are you ready to sit in the driver’s seat creating healthcare innovation through the use of Business Intelligence and Analytics? MMS has been chosen as the recruiting partner for a best in class technology leader to fill this key role.  This is a remote based position, we are  searching for BI leadership professionals anywhere in the country.





Spearhead the Company’s BI and analytics functions

Identify analytics opportunities in Revenue Cycle Management and related areas and provide strategic and
tactical leadership for implementing these opportunities


Provide appropriate pre-sales support in terms of putting together presentations and proposals for
prospective clients, marketing collateral and in BI/analytics solutions.

Engage with clients to understand business dynamics and to identify up-sell and cross-sell opportunities
Provide appropriate client services support


 Work closely with the solutions design and development team to ensure timely and qualitative technical
services delivery

Skills, Qualifications and Competencies:

• Bachelor’s / Master’s in Industrial Engineering, Operations Research, Math, Economics, Econometrics
• Overall experience of eight years, with at least five years’ experience in a leadership role, providing
analytics solutions and services
• Experience in Managed Meta data Environment strategies, standards, techniques and approaches
• Experience in data warehousing and RDBMS
• Experience in designing BI and analytics solutions and in providing sales support
• Experience in working with BI tools such as Cognos and SAP
• Strong interpersonal and team management skills
 Exceptional written and oral communication and presentation skills
• Strategic thinking, problem solving and creativity
• Insights into and familiarity with analytics opportunities in the US healthcare industry for Providers, Payers,
Accountable Care Organizations, Health Information Exchanges, Healthcare technology companies
• Knowledge of automation tools
• Knowledge of Software Development Life Cycle
• Attractive base salary + benefits + performance based bonus + stock options

VP Compliance | AZ | Search

Growing specialty health company! Ensure regulatory compliance with state and other government agencies related to the health insurance industry, corporate and its business subsidiaries. Ensure business unit and corporate are in compliance with state and federal program regulations insurance regulations regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations contract documentations amendments and various compliance measures. Develop policies procedures and processes to comply with state law federal law contract requirements and various standards. Oversee administer and implement various compliance programs including fraud and abuse and HIPAA. Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language. Conduct compliance audits develop and implement corrective action plans and report on achievement of action plans to senior management. Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance Managed Care Organization Medicare and Medicaid regulations and initiatives. Identify evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact. Represent senior management at various committees meetings and seminars

Position requires a Bachelors degree in Public Policy Government Affairs Business Administration or related field. 5+ years of compliance program management and contract experience. Extensive knowledge of state administrative code and regulations state insurance laws and regulations including managed care regulations. Experience with state and federal government agencies accreditation bodies participating provider agreements HIPAA and Third Party Administration (TPA) laws credentialing regulations and prompt pay laws. Master’s or Law degree preferred.


Executive Recruiting Contact:
Pamela Ratz DeVille, CPC, CIR, CDR
DL: 866-371-0687 x256

VP Medical Management |Washington | Search

Select your own team to grow and develop! Establish and implement the strategic vision for all medical management and quality functions in WA. Review and analyze all activities, costs, operations and forecast data to determine department progress. Participate with executive committees on special studies. Administer and ensure compliance with NCQA and/or JACHO standards as determined for accreditation of the health plan. Participate in staff, departmental, committee, sub-committee, community, State and other activities, meetings and seminars. Get involved with provider education and contracting activity as appropriate.

Successful candidate will have Bachelor’s degree in nursing, or equivalent experience. 10+ years of clinical nursing, quality improvement, and management experience in a managed care setting. Thorough skills knowledge of quality improvement practices. Familiarity of medical information systems, medical claims payment process, medical terminology and coding. Familiarity of case management practices, managed care, and Medicaid programs. Familiarity of NCQA accreditation process and standards.


Executive Recruiting Contact:
Pamela Ratz DeVille, CPC, CIR, CDR
DL: 866-371-0687 x256