Manager, IT Solution Delivery (Clinical Data Exchange & Epic Payer Platform)
About The Position
As a Domain expert in IT Healthcare Integrations and Interoperability solutions with an understanding of Healthcare Payer/Provider clinical data exchange, this role will own and lead valuable deliveries that improve the health experience of members. The position will interact and participate in the implementation and operation of the Epic Payer Platform. Experience with Epic EHR and/or Epic Payer Platform implementation or operations is advantageous. The role involves leading and managing IT teams through successful delivery of solutions to address business needs, managing the ongoing maintenance of related systems, and managing relationships with business and technology partners. It also includes performing all people leader tasks and maintaining and enforcing the ideal architecture for applications within the domain. Communication needs will vary from technical and detailed to business-focused and "C" suite consumable, with the role being central to enabling bi-directional data exchange between payers and providers.
Requirements
- Bachelor's degree or advanced degree (where required)
- 3+ years plus of leading IT deployment teams.
- 8+ years of experience in a related field.
- In lieu of degree, 10+ years of experience in a related field.
Nice To Haves
- Payer/Provider clinical data exchange use-cases background in SMART on FHIR Applications and strategies, Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR Implementation Guides, Epic Payer Platform integration and operations, or similar experiences on the Hospital Information Systems roles for the same criteria.
- Knowledge in interoperability and HL7 FHIR, FHIR work groups and governing bodies (Da Vinci, Carin, Sequoia, NCQA, CMS, etc.).
Responsibilities
- Leads an IT Solution Delivery team responsible for the successful delivery of enterprise-wide projects.
- Align and guide business partners and collaborate on the Delivery roadmap to meet KPIs and Milestones.
- Align technology stack, delivery team, delivery partner planning, and vendor partners to the multi-year delivery roadmap.
- Stay up to date on Interoperability standards, versions, Implementation Guides, and industry movements to keep BCBSNC in a forward position within the Interoperability space.
- Contribute to and steer architecture solutions and/or collaborate with architecture on solutions for applications under his/her domain.
- Manage and guide the detailed design, development, and integration activities for IT solutions.
- Provides concurrent oversight to multiple projects generally accountable to a single business division.
- Delivers complex communication of status and issues to senior leadership, VPs, and stakeholders in a clear and concise manner.
- Accountable for managing relationships with internal and external business stakeholders, vendors, and other delivery partners.
- Accountable for implementing technical solutions to adhere with IT guiding principles and imperatives.
- Contribute to the evolution and delivery of the IT strategy inclusive of architectural patterns, standards, and best practices.
- Accountable to maintain application health and performance through enforcement of architecture decisions that enable Blue Cross NC to better serve its members and constituents.
- Perform analytic functions and coach team members in technical and analytical production.
- Guides team through assessment of alternative systems approaches for workability and economic feasibility.
- Responsible for end-to-end vendor management for IT partners.
- Assist departments with strategic analysis to provide recommendations that ensure quality, cost effectiveness, goals, regulatory requirements, and mandates are met through IT solutions in a timely fashion.
- Provide direct reports with well-defined job expectations, ongoing performance feedback, accurate and timely performance appraisals, coaching, mentoring, training, and conflict resolution.
- Play a key role in the definition of the Solution Delivery Methodology and enforce the adherence of associated procedures.
Benefits
- Work-life balance, flexibility, and the autonomy to do great work
- Medical, dental, and vision coverage along with numerous health and wellness programs
- Parental leave and support plus adoption and surrogacy assistance
- Career development programs and tuition reimbursement for continued education
- 401k match including an annual company contribution
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What This Job Offers
Job Type
Full-time
Career Level
Manager
