Senior Manager, Health Information Management at Omada Health

, , United States -

Full Time

Start Date

Immediate

Expiry Date

28 Apr, 26

Salary

177900.0

Posted On

28 Jan, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Health Information Management (HIM), Telehealth, HIPAA Compliance, Records Request Fulfillment, Process Improvement, Standard Operating Procedures (SOPs), Accounting of Disclosure Management, KPI Management, Information Governance, Regulatory Compliance (CMS, NCQA), Custodian of the Records, Digital Environment Operation, Strategic Direction, Automation, AI Potential, AHIMA Credentials

Industry

Hospitals and Health Care

Description

Omada Health is on a mission to inspire and engage people in lifelong health, one step at a time. Job overview: Omada is seeking a Senior Manager, Health Information Management (HIM), to launch and scale a new function for a healthcare provider whose services are provided primarily through asynchronous telehealth and some synchronous telehealth. About Omada: Omada is a well-established virtual health care provider that is a covered entity and a health care provider under the Health Information Portability and Accountability Act. In 2025, Omada has served 1.4 million individuals since its founding in 2011. Omada cares for individuals from Alaska to Puerto Rico. The Senior Manager will bring their experience, training, and AHIMA credentials to Omada to help Omada scale, automate, and innovate, including potentially using AI, in managing the health records requests Omada receives from its members, their attorneys, and other parties. This position is within the Member Services organization. Omada has two custom built (non-certified) EHRs, and participates in nationwide health information exchange as a provider. Omada’s workforce is 100% remote. The Role: This role will be responsible for strategic direction, leadership and overall management of HIM functions. As Omada’s GLP-1 business grows, we expect the number of medical records requests for life or disability insurance; requests from plaintiffs' attorneys for their clients records; subpoenas from various defense attorneys; HEDIS requests from health plans; Health Plan audits of various types; and requests from members themselves to grow and we need an HIM manager to build our HIM process to scale with growth. Initially this role will be an individual contributor who fulfills all medical records requests within a 2-day service level agreement (SLA). This role will document the current medical records process, create standard work, measure process performance, and continuously improve. Your Impact: Define and lead HIM strategy by building scalable processes to fulfill records requests and authoring standard operating procedures (SOPs) to fulfill records requests, including accounting of disclosure management tracking. (Accounting for disclosures is an existing HIPAA obligation of Omada.) Define, develop, and maintain standard medical record report outputs responsive to various record & audit request scenarios with the goal being for standard types of cardiometabolic requests, the reported information is as easily generatable as the musculoskeletal medical record today. Process medical records of patients by assembling, analyzing, and checking for compliance with established policy on nomenclature and procedures; files charts and assists in the revision of files. Define, manage, achieve and improve key performance indicators (KPIs) of the role/department including response and resolution times. Work with Omada’s Information Governance Manager within the Compliance team to ensure compliance with internal Omada record retention policies and mandated HIM requirements. Work with the Chief Privacy Officer and/or Compliance Director and other cross functional partners where expertise is needed to fulfill requests. Serve as the “Custodian of the Records” who is an individual who certifies in a declaration or affidavit for the company that they can explain how the records are kept and testify about record keeping if called upon to do so. This is an ordinary part of being a qualified health information manager. Ensures compliance with relevant HIM requirements subject under current and future regulatory and accreditation organizations. CMS is definitely in scope, as is NCQA. Contributes expertise on HIM standards, including federally-supported standard for API based Individual Access Requests under TEFCA, to Omada’s business planning. About you: The successful candidate will be a proven and certified subject matter expert in the medical records field with. You are a deep expert in HIM operations, policies, and HIPAA information disclosure regulations. You can coordinate multiple projects, use time management skills and independent judgement. You are experienced in a fully digital environment where printing may not be a capability you or people helping you with records requests, have. To be successful, you will need: Experience 10+ years of related HIM experience with a Bachelor’s degree (8+ with Master’s, 5+ with PhD) Education Bachelors degree in Allied Health, Health Information Management, or related field of study License, Certification, Registration AHIMA Registered Health Information Technician Bonus Points for: Experience managing a team of HIM professionals AHIMA Registered Health Information Administrator Track record of experience operating in a fully digital environment, for example one that does not ever produce printed copies of records unless the requestor requests them. Specific experience in an HIM function in a telethealth/digital health provider or a company providing HIM services to a virtual health care provider. Working Conditions: Must be available during business hours in your local time zone and for occasional after-hours needs which may include evening, weekend, or holiday availability Onsite travel may be required approximately once per quarter Benefits: Competitive salary with generous annual cash bonus Equity grants Remote first work from home culture Flexible Time Off to help you rest, recharge, and connect with loved ones Generous parental leave Health, dental, and vision insurance (and above market employer contributions) 401k retirement savings plan Lifestyle Spending Account (LSA) Mental Health Support Solutions ...and more! It takes a village to change health care. As we build together toward our mission, we strive to embody the following values in our day-to-day work. We hope these hold meaning for you as well as you consider Omada! Cultivate Trust. We listen closely and we operate with kindness. We provide respectful and candid feedback to each other. Seek Context. We ask to understand and we build connections. We do our research up front to move faster down the road. Act Boldly. We innovate daily to solve problems, improve processes, and find new opportunities for our members and customers. Deliver Results. We reward impact above output. We set a high bar, we’re not afraid to fail, and we take pride in our work. Succeed Together. We prioritize Omada’s progress above team or individual. We have fun as we get stuff done, and we celebrate together. Remember Why We’re Here. We push through the challenges of changing health care because we know the destination is worth it. About Omada Health: Omada Health is a between-visit healthcare provider that addresses lifestyle and behavior change elements for individuals managing chronic conditions. Omada’s multi-condition platform treats diabetes, hypertension, prediabetes, musculoskeletal, and GLP-1 management. With insights from connected devices and AI-supported tools, Omada care teams deliver care that is rooted in evidence and unique to every member, unlocking results at scale. With more than a decade of experience and data, and 29 peer-reviewed publications showcasing clinical and economic proof points, Omada’s approach is designed to improve health outcomes and contain costs. Our customers include health plans, pharmacy benefit managers, health systems, and employers ranging from small businesses to Fortune 500s. At Omada, we aim to inspire and empower people to make lasting health changes on their own terms. For more information, visit: https://www.omadahealth.com/ Omada is thrilled to share that we’ve been certified as a Great Place to Work! Please click here for more information. We carefully hire the best talent we can find, which means actively seeking diversity of beliefs, backgrounds, education, and ways of thinking. We strive to build an inclusive culture where differences are celebrated and leveraged to inform better design and business decisions. Omada is proud to be an equal opportunity workplace and affirmative action employer. We are committed to equal opportunity regardless of race, color, religion, sex, gender identity, national origin, ancestry, citizenship, age, physical or mental disability, legally protected medical condition, family care status, military or veteran status, marital status, domestic partner status, sexual orientation, or any other basis protected by local, state, or federal laws. Below is a summary of salary ranges for this role in the following geographies: California, New York State and Washington State Base Compensation Ranges: $142,324 - $177,900*, Colorado Base Compensation Ranges: $136,136 - $170,200*. Other states may vary. This role is also eligible for participation in annual cash bonus and equity grants. *The actual offer, including the compensation package, is determined based on multiple factors, such as the candidate's skills and experience, and other business considerations. Please click here for more information on our Candidate Privacy Notice.

Responsibilities

This role is responsible for defining and leading the HIM strategy by building scalable processes to fulfill medical records requests, including authoring SOPs and managing disclosure accounting. The manager will also define, manage, and improve key performance indicators related to response and resolution times for these requests.