NYC Health + Hospitals
Senior Director of IT Core Systems Operations (Health Plan)
NYC Health + Hospitals, New York, New York, us, 10261
Senior Director of IT Core Systems Operations
Join to apply for the
Senior Director of IT Core Systems Operations
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NYC Health + Hospitals Senior Director of IT Core Systems Operations
Join to apply for the
Senior Director of IT Core Systems Operations
role at
NYC Health + Hospitals Get AI-powered advice on this job and more exclusive features. NYC Health + Hospitals provided pay range
This range is provided by NYC Health + Hospitals. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range
$210,000.00/yr - $231,000.00/yr Marketing Statement
MetroPlus Health
provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health 's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus Health
has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
The Senior Director of IT Core Systems is responsible for evaluating operational processes and procedures for process improvement of MetroPlusHealth Core Applications. This position will work with our application vendors as well as Claims Operations, Utilization Management, Network Management, and other operational areas to optimize the use of core systems supported by IT.
Job Description
Oversee development and implementation of short/long term business objectives Direct and support initiatives to focus on projects with plan wide benefit in accordance with corporate budgetary objectives Ensure continuous delivery of IT services through oversight of service level agreements and monitoring of IT systems vendor performance Oversee functions performed by delegated vendor as it relates to benefit configuration, claims processing, provider setup and account payable system Manage activities and communications between key business stakeholders and Core System Vendor for implementation of new systems and optimization of current systems Develop and oversee SDLC methodology, including business requirements creation and sign off, Quality Assurance, User Acceptance Testing, Production and Postproduction activities Address operational matters by working with business units to identify system solution to operational issues Participate and advise in new business/operational initiatives Provider guidance on current and future system capabilities Collaborate with operational areas and the system vendor to create system enhancement road map Identify areas of operational improvement, promote strategic relationships with business areas, vendor, governmental and partner organizations Work with claims editing vendors, Claims Operations, Utilization Management, and Network Management to set up system edits to increase medical cost savings Facilitate improvement of the payment transaction process by interacting with providers and finance team Manage project implementation of upgrades and new products as it relates to Core Systems Manage production processes, regulatory reports submission and provider directory activities
Minimum Qualifications
Bachelor’s Degree from an accredited college or university in Information Systems, Computer Science, Healthcare IT or related field A minimum of 10 years’ systems/operations management-related experience Healthcare IT experience required Project Management and Staff Supervision a plus
Professional Competencies
Integrity and Trust Customer Focus Functional/Technical skills Written/Oral Communication
#MPH50
Department Preferences
Seniority level
Seniority level Director Employment type
Employment type Full-time Job function
Job function Information Technology Industries Hospitals and Health Care Referrals increase your chances of interviewing at NYC Health + Hospitals by 2x Get notified about new Senior Director Information Technology jobs in
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#J-18808-Ljbffr
Join to apply for the
Senior Director of IT Core Systems Operations
role at
NYC Health + Hospitals Senior Director of IT Core Systems Operations
Join to apply for the
Senior Director of IT Core Systems Operations
role at
NYC Health + Hospitals Get AI-powered advice on this job and more exclusive features. NYC Health + Hospitals provided pay range
This range is provided by NYC Health + Hospitals. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range
$210,000.00/yr - $231,000.00/yr Marketing Statement
MetroPlus Health
provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health 's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus Health
has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
The Senior Director of IT Core Systems is responsible for evaluating operational processes and procedures for process improvement of MetroPlusHealth Core Applications. This position will work with our application vendors as well as Claims Operations, Utilization Management, Network Management, and other operational areas to optimize the use of core systems supported by IT.
Job Description
Oversee development and implementation of short/long term business objectives Direct and support initiatives to focus on projects with plan wide benefit in accordance with corporate budgetary objectives Ensure continuous delivery of IT services through oversight of service level agreements and monitoring of IT systems vendor performance Oversee functions performed by delegated vendor as it relates to benefit configuration, claims processing, provider setup and account payable system Manage activities and communications between key business stakeholders and Core System Vendor for implementation of new systems and optimization of current systems Develop and oversee SDLC methodology, including business requirements creation and sign off, Quality Assurance, User Acceptance Testing, Production and Postproduction activities Address operational matters by working with business units to identify system solution to operational issues Participate and advise in new business/operational initiatives Provider guidance on current and future system capabilities Collaborate with operational areas and the system vendor to create system enhancement road map Identify areas of operational improvement, promote strategic relationships with business areas, vendor, governmental and partner organizations Work with claims editing vendors, Claims Operations, Utilization Management, and Network Management to set up system edits to increase medical cost savings Facilitate improvement of the payment transaction process by interacting with providers and finance team Manage project implementation of upgrades and new products as it relates to Core Systems Manage production processes, regulatory reports submission and provider directory activities
Minimum Qualifications
Bachelor’s Degree from an accredited college or university in Information Systems, Computer Science, Healthcare IT or related field A minimum of 10 years’ systems/operations management-related experience Healthcare IT experience required Project Management and Staff Supervision a plus
Professional Competencies
Integrity and Trust Customer Focus Functional/Technical skills Written/Oral Communication
#MPH50
Department Preferences
Seniority level
Seniority level Director Employment type
Employment type Full-time Job function
Job function Information Technology Industries Hospitals and Health Care Referrals increase your chances of interviewing at NYC Health + Hospitals by 2x Get notified about new Senior Director Information Technology jobs in
New York, NY . New York City Metropolitan Area $110,000.00-$150,000.00 2 days ago Director, IT Infrastructure & Operations
Paramus, NJ $163,820.80-$204,776.00 6 days ago New York, NY $140,000.00-$160,000.00 1 month ago New York, NY $205,000.00-$288,000.00 1 week ago Director HRIS - Human Resources Information Technology - must have both Workday & SuccessFactors
New York, NY $170,000.00-$300,000.00 1 day ago Director, Sales - Enterprise IT, Technology Events & Media | US, Hybrid
New York, NY $125,000.00-$150,000.00 1 week ago Associate Director, Global Business Svcs Tech Enablement Strategy
Associate Director, iPaaS Platform Delivery
Associate Director, Global Business Svcs Tech Enablement Strategy
Associate Director, Global Business Svcs Tech Enablement Strategy
Associate Director, iPaaS Platform Delivery
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New York, NY $188,800.00-$324,500.00 6 days ago New York City Metropolitan Area $150,000.00-$200,000.00 4 weeks ago New York, NY $145,000.00-$165,000.00 8 hours ago Senior Director of IT Core Systems Operations
New York, NY $135,000.00-$175,000.00 16 hours ago Senior Director of IT Core Systems Operations
New York, NY $210,000.00-$231,000.00 1 week ago New York, NY $110,000.00-$160,000.00 13 hours ago New York, NY $115,900.00-$144,900.00 10 hours ago New York, NY $130,000.00-$140,000.00 11 months ago Director, IT Data Analytics & Data Engineering, Tech Lead
New York, NY $130,000.00-$150,000.00 3 weeks ago Troy Hills, NJ $168,500.00-$252,700.00 1 month ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr