System Director HealthPlan

Job Overview
We are seeking a highly skilled and experienced Director to lead our organization in achieving its strategic goals and objectives. The ideal candidate will have a strong background in network security, data management, and systems analysis. This role requires a visionary leader who can effectively manage teams, develop innovative solutions, and ensure the integrity of our network infrastructure while adhering to industry standards.

Responsibilities

• The System Director, Health Plan Systems, and Digital Product Dev reports to the Chief Information Officer and is responsible for directing the design, development, release, and maintenance of technology systems and services for enterprise health plan functions. Responsible for the business applications portfolio used throughout the SummaCare Health Plan System, including Insurance, Finance, and Marketing information systems. Works with leaders within IT&S, as well as across Summa Health, to meet business information system needs with the highest levels of value and user satisfaction. Including the following Responsibilities: Direct the design, development, coding, testing, and debugging of applications to include provider and health plan applications Oversee all software development and integration team activities Coordinate and collaborate activities with Business Analytics teams to build architecture to improve operational outcomes Facilitates cloud-based data and analytics solutions for clinical services, business services, and operations by ensuring proper architecture, complete and reliable databases, and data integrity. Responsible for data integration and all middleware applications for health plan business operations Direct development of consumer/external engagement technology solutions for health plan including (members, agents, brokers, providers, and employers) Reports directly to the CIO, with dotted-line reporting to the SummaCare business owner for SummaCare. Minimum Qualifications: 1. Formal Education Required: a. Bachelor’s degree in business, Computer Science, or a degree in another healthcare-related field. Additional related experience may be substituted for up to two years of the educational requirement. 2. Experience & Training Required: a. At least 5 years of experience in IT in a senior-level role responsible for Health Plan applications, financial and/or health insurance applications, their selection, implementation, and life cycle support. At least 8 years of large-team supervisory experience recruiting, mentoring, career development, performance management, leadership and team building. b. Thorough knowledge of application vendors and products utilized in healthcare is required, with demonstrated expertise in one or more focus areas: 1. Considerable experience in large-scale implementation and running of Health Plan (Health Edge, Tapestry, Cognizant) systems. 2. Management of a high-performing, cohesive team consisting of at least 20 members in application development, implementation and support. 3. Application of project management methodologies, service management principles, organizational change management, and technology architectures for a large-scale clinical enterprise. c. Demonstrated leadership experience in a matrixed structure, liaising with middle and senior management to build cross-organizational consensus of a technology platform. 3. Other Skills, Competencies and Qualifications: a. Strategic mindset with proven experience in business and/or IT strategic planning to drive strategic business results and outcomes b. Experience working across business and technology organizations to identify synergies and drive process and operational improvements. c. General knowledge of all IT disciplines and technology platforms d. Knowledge of Agile and Lean principles e. Design and implementation of application management processes and policies f. Demonstrated broad knowledge of major aspects of IT operations, including project management, systems development, systems analysis and design, and budget administration g. Working knowledge and use of Standard IT processes and methodologies (i.e. ITIL, PMI and SDLC) h. Proven experience in IT application, data, mobility and infrastructure planning and development i. Strong understanding and experience of the operational aspects of the health plan business and industry

Unit Description -

• Position has 30 staff, 6 direct reports, Sr level business systems experience including health plan business systems and implementation experience. Key business system projects will have reduced risk of being delayed Care Manager, OHC changes, end of life systems upgrades, outstanding upcoming audits, ERP, RFP planning, Healthplan RFP refresh Medical Insurance background-Prometica, Nationwide, BC/BS, Medical Mutual. Building-need to work on the fundamentals-health plan, manage integration, data analytics main goal ins integration with Healthplans into system-Microsoft integration, HL&, API, Middle ware solutions/management, helpdesk, project management if they have exp in health edge, upgrades/implementation/cognicent/EPIC Tapestry, custom solutions

Job Types: Full-time, Contract

Pay: $90.00 - $95.00 per hour

Expected hours: 40 per week

Compensation Package:

• Hourly pay
• Overtime pay
• Weekly pay

Schedule:

• 8 hour shift
• Day shift

Experience:

• Management: 8 years (Required)

Ability to Commute:

• Akron, OH 44310 (Required)

Ability to Relocate:

• Akron, OH 44310: Relocate before starting work (Required)

Work Location: In person

Salary : $90 - $95