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    IT Portfolio Manager of Ancillary - Boston, MA, United States - Commonwealth Care Alliance Inc.

    Commonwealth Care Alliance Inc.
    Commonwealth Care Alliance Inc. Boston, MA, United States

    2 weeks ago

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    Description
    IT Portfolio Manager of Ancillary & Pharmacy Services (Remote) #24-157
    Information Technology
    Why This Role is Important to Us

    Responsible for consulting with CCA's Ancillary Services and Pharmacy Operations to identify and define business needs that require technology solutions to achieve business outcomes.

    The portfolio manager ensures that IT solutions are best-in-class and align to CCA's IT and Business strategies.

    The portfolio manager directs FTEs, contractors, and IT vendors to identify new technology opportunities to attain operational efficiencies and growth.

    The manager will function as the IT lead for a portfolio of projects, building a matrixed team of cross- functional experts to deliver projects.

    The manager will define, lead, coordinate, and sequence technology roadmaps in alignment with the business strategy of Ancillary Services and Pharmacy Operations.


    Supervision Exercised:
    Yes


    Education:
    ~ 5 years of management experience Or an equivalent combination of education and experience sufficient to successfully perform the essential functions of the job.

    Experience Required:

    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
    Project management and Business Process tools (e.g. Microsoft Project, Bizagi, etc.)


    Experience Desired:
    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.
    Knowledge, Skills &

    Abilities Required:

    Adapts to change, is open to new ideas, takes on new responsibilities, handles pressure, and adjusts plans to meet changing needs.

    ~ Customer Focus

    Builds customer confidence, is committed to increasing customer satisfaction, sets achievable customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met, solicits opinions and ideas from customers, responds to internal customers.

    Excellent communication skills required.
    ~ Decision Making/ Judgment

    Recognizes problems and responds, systematically gathers information, sorts through complex issues, seeks input from others, addresses root cause of issues, makes timely decisions, can make difficult decisions, uses consensus when possible, and communicates decisions to others.

    ~ Managing for Results

    Sets challenging and productive goals for team, keeps team accountable for actions, provides leadership and motivation, provides resources and support, uses checkpoints and data to track progress, sets up systems and processes to measure results.

    Ability to manage program-level portfolio workloads (multi-project scope).
    ~ Managing Performance

    Applies clear/consistent performance standards, handles performance problems decisively and objectively, is direct but tactful, provides guidance and assistance to improve performance.

    ~ Negotiation Skills

    Conducts positive negotiations, ability to compromise, handles conflict, seeks common ground, articulates own and others goals, stays focused on positive outcome.

    ~ Organizational Savvy

    Operates within the organization's formal and informal structures, builds allies and relationships across departments, uses allies to build consensus and create results, is appropriately diplomatic, understands others' roles and perspectives, can sell projects and ideas across the organization.

    ~ Strategic Thinking/ Management

    Creates and communicates a long-term vision, balances short and long term goals, keeps own and team's work aligned with overall goals, understands the market and can predict change, understands the industry and the competition, creates and adjusts strategic plans.

    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
    What You'll Be Doing
    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
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