- Function as the IT subject matter expert for Ancillary Pharmacy integrations, platforms, and tools.
- Collaborate with IT teams to ensure the seamless data flow and consistency to Ancillary and Pharmacy vendors.
- Collaborate with various internal teams and external partners to gather and analyze requirements, ensuring compliance with EDI protocols and standards
- Manage performance of IT contractors and vendors.
- Lead, Mentor, Train, Supervise, and Manage a team of contracted Product Owners that have the following responsibilities
- Develop and maintain relationships with IT, business units and vendors to identify potential opportunities (projects and programs) to improve business operations, and deliver business outcomes.
- Consult with business unit's and review IT usage, services, technology, and department specific projects. Identify, forecast and develop IT needs.
- Establish subject matter expertise in healthcare business functions and operations to develop business requirements, functional requirements, and test plans
- Coordinate the delivery of IT solutions using established project management methodology. Present alternate strategies, new products, and service offerings to improve business efficiencies through technology.
- Analyze and report operational and financial impacts of vendors, products and services.
- Prepare and submit operational budget and cost estimates for proposed projects to senior management.
- Present alternative strategies, new products and service offerings to reduce negative impacts to projects.
- Serve as liaison for the Information Technology (IT) department and all other departments and management to identify, forecast and address IT needs.
- Establish and maintain business process documentation, compliance and security requirements, and regulatory goals on an ongoing basis and across all programs and projects.
- IT project deliverables and milestones including;
- User Stories and functional requirements associated with implementing technology to solve for business needs.
- Cross-Functional impact analysis of projects and programs
- Coordinate project delivery plan across all IT units
- Maintain delivery status in the required systems
- Reports on usage and metrics
- Identify, define, and develop new capabilities, processes, and technologies required for the efficiency of the IT organization.
- Develop and maintain continuous improvement techniques to improve the people, processes, and tools.
- Lead a metrics driven organization by reporting on portfolio and program status to executive management.
- Support IT communications
- Research new ways to conduct business operations
- Research new technologies and its applicability
- Provide ideas to resolve risks and issues to IT leadership team
- Participate in learning and development - Maintain active career development plan
- Mentor, tutor, and train fellow employees, interns, or consultants
- Four-year college degree
- 5 years of management experience Or an equivalent combination of education and experience sufficient to successfully perform the essential functions of the job.
- 8+ years of experience that has served in multiple roles such as business analyst, programmer, process analyst, project manager, and business consultant.
- Comprehensive knowledge of IT infrastructure, applications, and administrative tools
- Extensive knowledge of portfolio management and performance monitoring practices and methodologies
- Extensive knowledge of business principles
- Extensive knowledge of IT organizational practices
- Ability to build, maintain and extend relationships across the organization
- Leadership and executive-level communication
- Ability to manage and direct activities of others in a multi-project environment
- Ability to perform business and process analysis
- Preferred tools
- Atlassian platform tools (JIRA, Confluence, etc.)
- Project management and Business Process tools (e.g. Microsoft Project, Bizagi, etc.)
- Collaboration tools (e.g. MS Teams, Slack, etc)
- Agile Scrum experience
- Experience working in the healthcare payer space
- Experience with X12 EDI transaction sets for Healthcare, including 834, 837, and 835
- Experience working with vendor partners and associated data integrations.
- Adaptability/ Flexibility
- Customer Focus
- Decision Making/ Judgment
- Managing for Results
- Managing Performance
- Negotiation Skills
- Organizational Savvy
- Strategic Thinking/ Management
- Understanding of the enrollment and claims lifecycles of a medical payer
- Knowledge of EDI protocols and standards, such as ANSI X12, EDIFACT, XML, and AS2.
- Understanding of EDI mapping and translation tools, such as Gentran, Sterling Integrator, or similar software.
- Understanding of database concepts and SQL query language
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