Director, Enterprise Applications - Remote

Martin’s Point Health Care • Portland, ME

5d • $165,547 - $204,499 • Remote

About The Position

The Director, Enterprise Applications, leads the Enterprise Applications organization, including Health Plan Applications (HPA), Enterprise Salesforce/Applications, Application Development, and Enterprise Architecture. The first priority is to unify and transform the HPA teams into a single, integrated function with clear ownership of core system configuration and accuracy, including claims, benefits, enrollment, and care management systems.

The Director provides strategic and operational leadership for the enterprise application portfolio, aligning application configuration, development, and architecture with health plan business priorities and regulatory requirements. The role ensures teams organize, prioritize, and complete work with appropriate oversight controls, reporting, and quality assurance. It also manages the Enterprise Applications budget, staffing plan, vendor spend, and performance against key metrics and service levels.

Martin’s Point Health Care is an innovative, not-for-profit health care organization serving people in Maine and beyond. Employees work in a culture guided by the values of taking care of ourselves and others, continuous learning, helping each other, and having fun. This position is not eligible for immigration sponsorship. Employees hired for the position must verify U.S. citizenship and complete employment eligibility verification in accordance with the organization’s Department of Defense contract.

Requirements

• Bachelor’s degree required.
• At least 10 years of health plan or healthcare information technology experience, including at least 5 years leading application, configuration, or development teams.
• Experience managing vended core system applications.
• Demonstrated experience leading organizational change and transforming team operating models.
• Experience developing test plans and leading testing strategy and execution.
• Knowledge of reimbursement agreements and claims and billing practices that affect cost and utilization data.
• Knowledge of industry standards for claims and enrollment configuration, reporting, and analysis.
• Knowledge of benefit coverage and servicing members, providers, and the DoD, CMS/Medicare Advantage, and Maine state insurance coverage.
• Knowledge of managed care computer systems, features, and reporting.
• Excellent workflow and inventory management skills.
• Strong interpersonal, communication, operational, team-building, and quality-improvement skills.
• Strong leadership, coaching, and change-management skills, including the ability to unify teams around shared goals.
• Ability to communicate with executive leadership and translate business needs into technology solutions.
• Understanding of and alignment with Martin’s Point values.
• Ability to develop and maintain effective working relationships with colleagues, vendors, and internal and external customers.
• Strong problem-solving, quantitative, and analytical skills, including assessing performance against metrics.
• In-depth technical knowledge, ability to learn new technologies, and knowledge of the Software Development Life Cycle.
• Ability to manage, organize, and prioritize workload accurately and in a timely manner.
• Ability to manage competing demands and work independently.
• Critical-thinking ability to identify root causes and implement sustainable short- and long-term solutions.
• Must verify U.S. citizenship and complete employment eligibility verification upon hire, in compliance with the organization’s Department of Defense contract.

Nice To Haves

• Master’s degree in Business Administration, Information Systems, or a comparable advanced degree.
• Project management (PMP), Agile/SAFe, ITIL, or Salesforce certification.
• Experience with Cognizant (TriZetto) QNXT configuration, administration, or implementation.
• Experience leading application development teams, including custom development, integrations, and SDLC.
• Familiarity with Salesforce or other CRM platforms.
• Experience supporting Medicare Advantage and/or TRICARE lines of business.
• Knowledge of CMS interoperability requirements, such as CMS-0057-F, and healthcare data standards including HL7 FHIR and X12 EDI.
• Knowledge of Agile delivery practices and IT service management (ITSM).
• Proficiency with work management and ticketing tools such as Jira, ServiceNow, or Azure DevOps.

Responsibilities

• Lead and transform the Health Plan Applications teams into a unified function with clear IT and business ownership, defined roles, and a sustainable operating model for core system configuration.
• Drive timely, high-quality configuration and maintenance of core health plan systems, including QNXT, care management, and enrollment systems, to support regulatory compliance, financial management, and product strategy.
• Oversee and maintain documentation for claims and benefit configuration processes and procedures, with appropriate controls, reporting, and quality assurance.
• Develop testing protocols and support audits and quality checks to ensure configuration and data accuracy and system performance.
• Lead the Application Development team in designing, building, and supporting custom applications and system integrations using SDLC, DevOps, and secure development standards.
• Provide leadership for the Enterprise Salesforce/CRM platform, including platform ownership, administration, release management, and application support, in partnership with business stakeholders.
• Partner with Enterprise Architecture to align application solutions with enterprise standards, the technology roadmap, and integration and data strategies.
• Develop work intake mechanisms across Enterprise Applications teams, including tools to manage ticket inventories, prioritize backlogs, and assess different work types.
• Oversee vendors to optimize system processing, efficiency, and accuracy; pursue vendor opportunities, including RFI/RFP processes, as appropriate.
• Collaborate with business, Operations, Data & Analytics, and IT teams on system and operational readiness for system fixes, configuration, and project rollouts.
• Coordinate with infrastructure and integration teams on system upgrades, enhancements, integration updates, and file loads.
• Manage the Enterprise Applications budget, staffing plan, and vendor spend; track performance against key metrics and service levels.
• Demonstrate the organization’s mission, vision, and core values through consistent work.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Retirement savings with employer contributions
• Paid time off, including volunteer time off
• Pie day
• Other employee benefits
• Potential additional compensation through incentive or commission-based programs, where applicable and subject to plan terms

What This Job Offers

• Job Type: Full-time
• Career Level: Director