Director, Health Data Integration

Title: Director, Health Data Integration
Reports to: VP, Technology
Classification: Director
Location: Boston (Hybrid)
Job description revision number and date: V2.0; 03.10.2025

Organization Summary:

Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.

SCO and One Care Summary

The Senior Care Options (SCO) and One Care programs are health plan programs for dually eligible (Medicare and Medicaid) individuals (“duals”) in Massachusetts. SCO serves eligible beneficiaries aged 65 , while One Care serves duals between ages 21-64. These programs are Fully Integrated Dual-Eligible Special Needs Plans (FIDE- SNP) that integrate Medicare and Medicaid benefits, along with additional supports for enrollees such as integrated care teams, care managers, social supports, etc.

Massachusetts’ Medicaid (MassHealth) agency recently conducted a procurement for health plans to offer products in these two programs, for a five-year term starting January 1, 2026. C3 submitted a bid and was selected in September 2024.

Job Summary:

The Director of Health Data Integration is responsible for leading the design, implementation, and optimization of data integration systems and population health management solutions. The Director provides strategic leadership, day-to-day management and oversight of the systems, tools and processes, including support and maintenance of existing applications and development solutions. They will bridge the technical aspects of data systems with the clinical and operational needs of the organization, ensuring the effective use of technology to develop and implement strategies that streamline care coordination, improve patient outcomes, and support value based care initiatives. Reporting to the VP of Technology and serving as a member of the organization’s Leadership Team, the Director of Health Data Integration will also function as the primary liaison to appropriate vendors.

Responsibilities:

• Lead the development and implementation of strategies for integrating data from various sources (electronic health records, claims, etc.) and ensure seamless data exchange across platforms
• Ensure the quality, completeness, and accuracy of integrated data
• Implement data governance practices to maintain high data quality standards across systems
• Ensure the smooth exchange of data between internal systems and external partners (e.g., FQHCs, government health agencies, third-party vendors)
• Collaborate with the quality team to ensure that the necessary clinical, claims and operational data are properly captured and processed to support quality measurement
• Ensure that IT systems are aligned with HEDIS and STARS reporting requirements and that data flows seamlessly for reporting purposes
• Work closely with quality improvement and clinical teams to ensure the accurate capture of data and resolve any discrepancies or data issues
• Manage relationship with population health vendors including application support, implementation planning and system enhancements
• Guide workflow design, building, testing, and analysis of other needs associated with population health platforms
• Lead data integration efforts with systems on diverse cloud platforms – AWS, Azure
• Implement structure for support and training of population health platforms
• Collaborate with stakeholders from clinical, operations, health equity, quality, information technology and

C3 subsidiaries to explore new areas of development for the organization’s population health strategy

• Participate in staff, management and provider meetings, as necessary
• Manage a team of analysts working on data integration and population health initiatives
• Recruit, train, and manage staff to ensure quality of work, meet productivity levels, and completion of task
• Lead change management – drive change management initiatives to ensure smooth adoption of new systems, processes and technologies across the organization
• Perform other job duties, as assigned

Required Skills:

• Strong technical experience in data integration, Electronic Health Record Systems, population health software, medical claims, and other health care data
• A minimum of 5 years of progressively responsible information technology management in the health field is required
• Strong analytical and organizational skills including ability to analyze data to identify trends and communicate them through effective reporting methods
• Strong background in using advanced analytical tools and programming languages such as SQL, R, Power BI, or other analytical software
• Experience with healthcare interoperability standards (e.g., HL7, FHIR)
• Strong understanding of ETL/ELT platforms
• Proven ability to design, build and implement data pipelines, ETL processes, and data structures
• Strong attention to detail and experience leading data-driven projects within a healthcare setting
• Excellent oral, written, and verbal communication skills including experience presenting complex information to senior leaders
• Skilled in exercising a high degree of initiative, judgement, discretion, and decision making to achieve objectives
• Must have excellent process improvement skills and be able to understand health center functions, IT, operations and organizational culture
• Ability to firmly manage, yet also nurture vendor partnerships
• Must be able to remain in a stationary position 50-75% of the time

Desired Other Skills:

• Familiarity with the MassHealth ACO program
• Familiarity with Federally Qualified Health Centers
• Experience with anti-racism activities, and/or lived experience with racism is highly preferred

Qualifications:

• An advanced degree in Business, Computer Science, Information Technology, Public Administration or a related field preferred

** In compliance with Covid-19 Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **