Senior Director of Core Systems

New York, NY, US • Posted 14 hours ago • Updated 14 hours ago

Full Time

On-site

Fitment

Dice Job Match Score™

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Job Details

Skills

Process Improvement
FOCUS
Continuous Delivery
IT Service Management
Service Level
Accounts Payable
Optimization
Software Development Methodology
Quality Assurance
Acceptance Testing
Post-production
Collaboration
Editing
Claims Management
Utilization Management
Network Administration
Cost Reduction
Finance
Project Implementation
Training
Information Systems
Computer Science
System Administration
Management
Healthcare Information Technology
Project Management
Supervision

Summary

The Senior Director of Core Systems is responsible for evaluating operational processes and procedures for process improvement of MetroPlusHealth Core Applications. This position will work with our application vendors as well as Claims Operations, Utilization Management, Network Management, and other operational areas to optimize the use of core systems.

Scope of Role & Responsibilities

Oversee development and implementation of short/long term business objectives
Direct and support initiatives to focus on projects with plan wide benefit in accordance with corporate budgetary objectives
Ensure continuous delivery of IT services through oversight of service level agreements and monitoring of IT systems vendor performance
Oversee functions performed by delegated vendor as it relates to benefit configuration, claims processing, provider setup and account payable system
Manage activities and communications between key business stakeholders and Core System Vendor for implementation of new systems and optimization of current systems
Develop and oversee SDLC methodology, including business requirements creation and sign off, Quality Assurance, User Acceptance Testing, Production and Postproduction activities
Address operational matters by working with business units to identify system solution to operational issues
Participate and advise in new business/operational initiatives
Provider guidance on current and future system capabilities
Collaborate with operational areas and the system vendor to create system enhancement road map
Identify areas of operational improvement, promote strategic relationships with business areas, vendor, governmental and partner organizations
Work with claims editing vendors, Claims Operations, Utilization Management, and Network Management to set up system edits to increase medical cost savings
Facilitate improvement of the payment transaction process by interacting with providers and finance team
Manage project implementation of upgrades and new products as it relates to Core Systems
Manage production processes, regulatory reports submission and provider directory activities

Required Education, Training & Professional Experience

Bachelor's Degree from an accredited college or university in Information Systems, Computer Science, Healthcare IT or related field
A minimum of 10 years' systems/operations management-related experience
Healthcare IT experience required
Project Management and Staff Supervision a plus

#LI-Hybrid

#MPH50

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: buyfeed
Position Id: 6907_TE0045
Posted 14 hours ago

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