Director of Eligibility & Encounters

Magellan Health

9d • $127,295 - $229,105

About The Position

The Director of Eligibility & Encounters is responsible for understanding business and IT strategy and ensuring the organization has the skills and capabilities needed to meet business and technical commitments. The role leads IT analysis initiatives and special projects within a portfolio of applications, drives continuous improvement, and establishes best practices for requirements gathering, analysis, design, testing, and implementation. The director partners across the organization to improve business processes and systems, emphasizing scale, efficiency, configuration, and automation. The role owns delivery, testing and validation, rollout and training, and issue triage and resolution.

The director establishes and refines metrics for key processes, communicates across functions, and serves as a trusted advisor to business and technical teams. The role promotes user-centric design, ensures teams understand project vision and goals, and oversees strong analysis, design, and testing practices. It mentors and empowers the IT Analysis team, builds team capabilities and leadership, and hires, develops, engages, motivates, and manages managers and individual contributors. The position uses approaches such as critical thinking, Lean Management, ITIL, Design Thinking, and structured systems analysis and design.

The position requires a collaborative, hands-on leader who can address complex business problems, work across a large and distributed organization, and communicate effectively with technical and business audiences. Additional duties aligned with the intent of the role may be assigned.

Requirements

• 10+ years of related experience, including experience working with Agile and Lean methods.
• Experience moving across different IT departments to gain a broader perspective of the business or industry.
• Demonstrated ability to collaborate across the organization and take a hands-on approach to getting work done.
• Ability to explain technical issues to technical and business partners.
• Ability to solve difficult business problems.
• Excellent project management, interpersonal, and organizational skills, including the ability to drive and implement ideas in a constantly changing environment.
• Experience leading technically challenging, cross-functional projects from inception through implementation.
• Demonstrated ability to build skills within a team.
• Evolving executive presence.
• Experience dealing with ambiguity, solving complex problems, and scaling effectively across a large organization and highly distributed team.
• Excellent communication skills and the ability to adapt messages to technical and business audiences.
• A combination of education and work experience may be considered; bachelor's degree required, with computer and information science specified.

Responsibilities

• Understand business and IT strategy and ensure the organization has the skills and capabilities to meet business and technical commitments.
• Lead IT analysis initiatives and special projects within the portfolio of applications, and drive continuous improvement.
• Establish best practices for requirements gathering, analysis, design, testing, and implementation.
• Partner across the organization to identify business process improvements and translate them into system improvements focused on scale, efficiency, configuration, and automation.
• Own delivery, testing and validation, rollout and training, and issue triage and resolution.
• Establish, track, measure, and refine metrics for key processes.
• Communicate across functions and serve as a trusted advisor to business and technical teams.
• Foster user-centric design culture, values, and principles across the organization.
• Clarify project vision and goals for design and delivery teams, align design with deliverable goals, and communicate the vision across the organization.
• Oversee and promote strong analysis, design, testing methods, and processes.
• Maintain data integrity across multiple systems and identify and resolve inconsistencies.
• Lead sessions to identify process inefficiencies and participate in resolving them.
• Use critical thinking, Lean Management, ITIL, Design Thinking, and structured systems analysis and design approaches.
• Mentor and empower the IT Analysis team and support continuous improvement of its capabilities.
• Hire, develop, grow, engage, motivate, and manage managers and individual contributors.
• Develop, mentor, and coach the next generation of leaders.

Benefits

• Short-term incentives may be available.
• Comprehensive benefits package.
• Health, life, voluntary, and other benefits and perks supporting physical, mental, emotional, and financial wellbeing.

What This Job Offers

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