CalOptima
Director, Information Technology (Claims, Membership, Benefits, Provider and Con
CalOptima, Orange, California, United States, 92613
Director, Information Technology (Claims, Membership, Benefits, Provider and Contact Center) (Director IV)
CalOptima
is seeking a highly motivated
Director, Information Technology (Claims, Membership, Benefits, Provider and Contact Center) (Director IV)
to join our team. The Director will be accountable for the IT strategy and execution for Claims, Membership, Benefits, Provider, and Contact Center applications. This position will work closely with business leadership and department staff to find solutions and deliver the technology required to support existing and new applications and technology.
The incumbent will be responsible for the effective and efficient management and delivery of all third-party and internal IT resources to implement new systems and enhancements, and ensure ongoing support. As a member of the department's leadership team, the incumbent will contribute to the development and execution of the organizational technology strategy, ensuring its alignment with the organization's business strategy, and ensuring the delivery of capabilities required to achieve business success.
The candidate should have extensive health plan technology experience, strong project management skills, excellent vendor management skills, financial management expertise, and a service-oriented approach to IT.
Position Information:
Department:
IT - Applications Management
Salary Grade:
323 - $204,199 - $326,717 ($98.17 - $157.0756)
Work Arrangement:
Partial Telework
This position is eligible for telework in California.
Duties & Responsibilities:
50% - Leadership Functions
Cultivates and promotes a mission-driven culture of high-quality performance, with a focus on member service, dignity, and accountability.
Directs and supports the team in carrying out department responsibilities, collaborating with leadership and staff to support goals and priorities.
Leads the development of IT strategy and technical roadmap, ensuring alignment with overall organizational strategies.
Works with leadership on project portfolio management and resource prioritization, including budgeting.
Builds relationships with internal and external IT and business leaders to understand business needs and deliver cost-effective IT services.
Develops and manages budgets and expenditures for infrastructure, supporting strategic objectives within budget.
Champions innovation and stays informed of emerging technologies to support business opportunities.
Focuses on recruitment, development, and retention of the IT workforce.
Drives continual service improvement initiatives.
45% - Program Oversight
Provides strategic direction for system design, development, operation, and support, understanding marketplace and technology's role.
Defines and manages a comprehensive architecture for assigned systems.
Ensures service delivery within governance processes, meeting business outcomes and timelines.
Uses KPIs and metrics for service management and continuous improvement.
Assesses external and internal technology capabilities for competitive positioning.
Monitors new technologies, providing guidance on integration and adoption.
Negotiates with vendors for cost-effective and innovative solutions.
5% - Other
Performs additional projects and duties as assigned.
Minimum Qualifications:
Bachelor's degree in computer science, information systems, or related field + 7 years of IT leadership experience; equivalent education and experience may suffice.
7 years in senior IT roles at large health plans.
7 years influencing business management and stakeholders.
Experience supporting Claims, Membership, Benefits, Provider, and Contact Center systems.
Experience leading IT transformational initiatives.
Managing staff of 30+.
Managing large-scale consulting or contracting engagements.
Managing operational and project budgets, including cost accounting.
Knowledge of health plan core systems and vendor marketplace.
Experience with business case development, cost estimation, and benefits quantification.
Proven ability to work with business partners to develop roadmaps and deliver commitments.
Experience with contact center solutions to improve member experience and staff productivity.
Preferred Qualifications:
Experience leading teams responsible for Facets (claims, membership, benefits).
#J-18808-Ljbffr
is seeking a highly motivated
Director, Information Technology (Claims, Membership, Benefits, Provider and Contact Center) (Director IV)
to join our team. The Director will be accountable for the IT strategy and execution for Claims, Membership, Benefits, Provider, and Contact Center applications. This position will work closely with business leadership and department staff to find solutions and deliver the technology required to support existing and new applications and technology.
The incumbent will be responsible for the effective and efficient management and delivery of all third-party and internal IT resources to implement new systems and enhancements, and ensure ongoing support. As a member of the department's leadership team, the incumbent will contribute to the development and execution of the organizational technology strategy, ensuring its alignment with the organization's business strategy, and ensuring the delivery of capabilities required to achieve business success.
The candidate should have extensive health plan technology experience, strong project management skills, excellent vendor management skills, financial management expertise, and a service-oriented approach to IT.
Position Information:
Department:
IT - Applications Management
Salary Grade:
323 - $204,199 - $326,717 ($98.17 - $157.0756)
Work Arrangement:
Partial Telework
This position is eligible for telework in California.
Duties & Responsibilities:
50% - Leadership Functions
Cultivates and promotes a mission-driven culture of high-quality performance, with a focus on member service, dignity, and accountability.
Directs and supports the team in carrying out department responsibilities, collaborating with leadership and staff to support goals and priorities.
Leads the development of IT strategy and technical roadmap, ensuring alignment with overall organizational strategies.
Works with leadership on project portfolio management and resource prioritization, including budgeting.
Builds relationships with internal and external IT and business leaders to understand business needs and deliver cost-effective IT services.
Develops and manages budgets and expenditures for infrastructure, supporting strategic objectives within budget.
Champions innovation and stays informed of emerging technologies to support business opportunities.
Focuses on recruitment, development, and retention of the IT workforce.
Drives continual service improvement initiatives.
45% - Program Oversight
Provides strategic direction for system design, development, operation, and support, understanding marketplace and technology's role.
Defines and manages a comprehensive architecture for assigned systems.
Ensures service delivery within governance processes, meeting business outcomes and timelines.
Uses KPIs and metrics for service management and continuous improvement.
Assesses external and internal technology capabilities for competitive positioning.
Monitors new technologies, providing guidance on integration and adoption.
Negotiates with vendors for cost-effective and innovative solutions.
5% - Other
Performs additional projects and duties as assigned.
Minimum Qualifications:
Bachelor's degree in computer science, information systems, or related field + 7 years of IT leadership experience; equivalent education and experience may suffice.
7 years in senior IT roles at large health plans.
7 years influencing business management and stakeholders.
Experience supporting Claims, Membership, Benefits, Provider, and Contact Center systems.
Experience leading IT transformational initiatives.
Managing staff of 30+.
Managing large-scale consulting or contracting engagements.
Managing operational and project budgets, including cost accounting.
Knowledge of health plan core systems and vendor marketplace.
Experience with business case development, cost estimation, and benefits quantification.
Proven ability to work with business partners to develop roadmaps and deliver commitments.
Experience with contact center solutions to improve member experience and staff productivity.
Preferred Qualifications:
Experience leading teams responsible for Facets (claims, membership, benefits).
#J-18808-Ljbffr