Apply on Employer Site

MetroPlusHealth · 3 days ago

Senior Director of IT Core Systems

New York, NY

Full-time

Onsite

Senior Level, Lead/Staff

$221K/yr - $231K/yr

10+ years exp

MetroPlusHealth is seeking a Senior Director of IT Core Systems to evaluate and improve operational processes for their core applications. The role involves overseeing IT service delivery, managing vendor relationships, and directing business initiatives to optimize system use and enhance operational efficiency.

Financial ServicesHealth CareHealth InsuranceInsuranceLife Insurance

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