Technology Director, Billing and Enrollment
About The Position
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. Lead the tech architecture, engineering and product strategy for enrollment and billing platforms. Plan, organize, control and evaluate IT and electronic data exchanges with various vendors and suppliers. Manage technical staff by recruiting, training and coaching employees, communicating job expectations and appraising their performance. Performs other duties as assigned.
Requirements
- Bachelor's degree in related field or equivalent experience
- 8 years of experience in area of supervision with at least 3 years of management responsibility
- Prior experience with the electronic data transfer of large complex customer data
Nice To Haves
- Excellent communication skills in written, verbal and presentation form
- Depth of experience in data engineering, ideally using SQL, Mulesoft, Python in a cloud-based environment
- Prior experience creating the architecture and process automation for a complex healthcare system
- Demonstrated experience leading both on shore and offshore technical teams
- Healthcare industry experience
Responsibilities
- Demonstrates deep understanding of how enrollment, eligibility and premium billing data flows into and through Medica and drives related operational processes.
- Clear understanding of HIPAA requirements around the use and security of enrollment, eligibility and billing data.
- Platform operational ownership – oversee the full lifecycle of integrating and off-boarding enrollment sources through billing cycles (where needed).
- Partner with external vendor partners to establish data exchanges, driving to standardization to ensure efficient operation.
- Act as a liaison with product teams, finance, compliance, data security, and tech senior leadership to ensure service delivery
- Lead a team of direct and indirect employees, including on and offshore consultants
- Recruit, train, coach and mentor employees
- Develop team members, coach performance when needed, leading by example
- Drive innovative thinking, while balancing the budgetary needs of a nonprofit, member-centric organization
- Oversee modernization of Enrollment and Billing systems, leveraging Cloud and DevSecOps engineering practices to drive scalability and speed-to-market.
- Drive API and EDI integrations to ensure smooth data transfer for efficient enrollment and billing operations
- Create process automation and enhancements for a seamless and efficient member experience
- Utilizing smart, data engineered solutions to ensure compliance and customer data security following PHI, HIPAA standards
Benefits
- competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
