Medicaid Technology Innovation Lead

Há 2 dias

Aracaju, Sergipe, Brasil beBeeLeadership Tempo inteiro US$117.600 - US$161.700
Job Opportunity

This is a unique opportunity to lead Medicaid technology efforts and drive innovation across state markets.

Key Responsibilities:
  • Oversight of testing for multiple states and their associated product lines in parallel.
  • Understanding priorities of all delivery for assigned state and support business goals of Medicaid IT program.
  • Identification and implementation of best practice changes within organization and across Medicaid IT to drive faster and more streamlined delivery cycles.
  • Coordination of resolution of major initiatives deliverables requiring urgent attention/escalation.
  • Guidance of state and market implementations, ensuring IT technical requirements are delivered effectively.
  • Maintenance of end-to-end accountability for ongoing quality control, development, and delivery of IT products and services for assigned state.
  • Partnership with strategy advancement to drive initiatives such as vendor RFPs, innovation pilots, and test/learn efforts.
  • Development, sharing, and leveraging of best practices across IT.
  • Influence of key stakeholders, team members, and peers outside of direct control to deliver optimal solutions aligned with business partner expectations.
  • Conducting executive-level briefings and presenting solution recommendations in support of state-level initiatives.
Required Qualifications:
  • Bachelor's degree in healthcare administration, public health, information systems, business, policy administration, or related field; work experience may meet this need.
  • 5+ years managed care experience.
  • 5+ years in Medicaid program implementation or healthcare operations, with demonstrated leadership of complex, multi-disciplinary projects.
  • Solid understanding of payor operations, technology, communications, and processes.
  • Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management, and clinical operations; Medicaid preferred.
  • Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities, and processes utilized to deliver on core competences.
  • Delivery focused - time, scope, quality.
  • In-depth knowledge of Medicaid regulations, policies, and compliance requirements.
  • Proven experience in managing cross-functional teams and vendor/partner relationships.
  • Strong understanding of healthcare information systems and technology implementation.
  • Excellent organizational, analytical, and problem-solving abilities.
  • Effective verbal and written communication skills with ability to engage stakeholders at all organizational levels.
  • Understanding of software development lifecycle.
  • SAFe/Agile certified.
  • May require work outside of regular office hours in order to meet critical timelines.
  • Demonstrated ability to work independently with high level of motivation and initiative, and respond promptly and effectively to changing priorities with minimal supervision or direction.

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