Manager, IT Solution Delivery

Blue Shield of North CarolinaDurham, NC
Hybrid

About The Position

As a Domain expert in IT Healthcare Integrations and Interoperability solutions with an understanding of Healthcare Payer/Provider clinical data exchange, you will own and lead valuable deliveries that improve the health experience of our members. You will lead and manage IT teams through successful delivery of solutions to address business needs. Manage on-going maintenance of related systems. Manage relationships with business and technology partners. Performs all people leader tasks. Maintain and enforce ideal architecture for applications under your domain. With communication needs varying from technical and detailed to business focused and "C" suite consumable, you will be centered in the heart of making the bi-directional data exchange between payers and providers a reality.

Requirements

  • Must be knowledgeable in interoperability and HL7 FHIR, FHIR work groups and governing bodies (Da Vinci, Carin, Sequoia, NCQA, CMS, etc.).
  • Bachelor's degree or advanced degree (where applicable).
  • 3+ years plus of leading IT deployment teams.
  • 8+ years of experience in related field.
  • In lieu of degree, 10+ years of experience in 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.

Responsibilities

  • Leads an IT Solution Delivery team responsible for the successful delivery of enterprise-wide projects.
  • Align and guide your business partners and collaborate on 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 the Interoperability standards, versions, Implementation Guides and industry movement to keep BCBSNC in a forward position within the Interoperability space.
  • Contribute and steer architecture solutions and/or collaborates 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, conflict resolution.
  • Play a key role in definition of the Solution Delivery Methodology and enforce the adherence of associated procedures.

Benefits

  • 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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