Director, Enterprise Applications

Martin's Point Health Care • Portland, ME

3d

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 role’s 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. Responsibilities also include application development and support, Salesforce/CRM platform leadership, vendor oversight, business and technology collaboration, and management of the Enterprise Applications budget, staffing plan, and vendor spend.

This position requires a bachelor’s degree and at least 10 years of health plan or healthcare IT experience, including at least 5 years leading application, configuration, or development teams. A master’s degree and several certifications or specialized healthcare technology experiences are preferred. The position is not eligible for immigration sponsorship. Applicants must verify U.S. citizenship and complete employment eligibility verification upon hire, in compliance 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 with test plan development, 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.
• Interpersonal, communication, operational, team-building, and quality-improvement skills.
• Leadership, coaching, and change-management skills, including the ability to unify teams around shared goals.
• Ability to communicate effectively with executive leadership and translate business needs into technology solutions.
• Ability to develop and maintain positive working relationships with colleagues, vendors, and internal and external customers.
• Problem-solving, quantitative, and analytical skills, including the ability to assess performance against metrics.
• In-depth technical knowledge and ability to learn new technologies; knowledge of the Software Development Life Cycle (SDLC).
• Ability to manage, organize, and prioritize workload accurately and on time, manage competing demands, and work independently.
• Critical-thinking skills, including identifying root causes and implementing sustainable short- and long-term solutions.
• Demonstrate understanding of and alignment with Martin’s Point Values.
• Verify U.S. citizenship and complete employment eligibility verification upon hire, as required by 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 such as 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 single integrated function with clear IT and business ownership, defined roles, and a sustainable operating model for core system configuration.
• Drive quality and timely configuration and maintenance of core health plan systems, including QNXT, care management, and enrollment systems.
• Oversee, develop, and maintain documentation for claims and benefit configuration processes and procedures, with appropriate controls, reporting, and quality assurance.
• Develop testing protocols and support regular audits and quality checks to ensure configuration accuracy, 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.
• Lead 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 and tools to manage ticket inventory, prioritize backlogs, and assess different types of work.
• Oversee vendors to optimize system processing, efficiency, and accuracy; pursue new vendor opportunities, including RFI/RFP processes as appropriate.
• Collaborate with business, Operations, Data & Analytics, and IT teams to ensure system and operational readiness for 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, and track performance against key metrics and service levels.
• Demonstrate the organization’s mission, vision, and core values through 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, such as incentive or commission-based programs, where applicable and subject to plan terms

What This Job Offers

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