Director IT, Clinical Applications

Amerihealth Caritas•,

16h•Remote

About The Position

The Director IT, Clinical Applications is a pivotal leader responsible for overseeing clinical applications supporting care management (CM), utilization management (UM), and long-term services and support (LTSS). The role combines technical expertise, strategic thinking, relationship management, and leadership to deliver technology solutions that support business and clinical objectives while meeting regulatory requirements. This is a 100% remote position for candidates living in the Eastern or Central time zone. A reliable high-speed internet connection is required, with a minimum of 50 Mbps download and 5 Mbps upload.

Requirements

Bachelor’s degree or equivalent work experience.
At least 10 years of IT experience.
At least 5 years of leadership experience.
Strong understanding of managed care clinical workflows and terminology, such as LTSS, Care Management (CM), or Utilization Management (UM).
Strong communication, organizational, and leadership skills.
For remote work, live in the Eastern or Central time zone and have reliable high-speed internet with at least 50 Mbps download and 5 Mbps upload.

Nice To Haves

Previous experience working for a healthcare payer organization.
Previous experience implementing enterprise-wide clinical systems.

Responsibilities

Develop and execute IT strategies aligned with organizational goals, focusing on efficiency, security, and innovation in healthcare, and work with business and clinical partners to develop investment business cases.
Lead, mentor, and develop a high-performing IT team, fostering engagement, collaboration, continuous improvement, and professional growth.
Oversee daily operations of IT systems, networks, and applications to ensure performance, reliability, availability, and efficiency.
Direct complex IT projects from conception through completion, including cost and schedule estimates, implementations, upgrades, and migrations; ensure delivery on time, within budget, and in line with business cases and quality expectations; identify risks and drive mitigation.
Establish and enforce cybersecurity protocols and data privacy measures, ensuring compliance with healthcare regulations such as HIPAA, HITECH, and state-specific mandates.
Manage third-party IT vendor and service-provider relationships, negotiate contracts, ensure service-level agreements are met, and optimize vendor performance.
Develop and manage the IT department budget, ensuring cost-effectiveness and appropriate resource allocation.
Evaluate and recommend technologies and solutions that enhance health plan capabilities, improve member experience, and drive operational efficiency.
Develop and maintain disaster recovery and business continuity plans for critical IT systems.
Collaborate with departments, executive leadership, and external partners to understand IT needs and deliver effective solutions.