Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.
Summary:
The System Director, Health Plan Systems, and Digital Product Dev reports to the Chief Information Officer and is responsible for directing the design, development, release, and maintenance of technology systems and services for enterprise health plan functions. Responsible for the business applications portfolio used throughout the SummaCare Health Plan System, including Insurance, Finance, and Marketing information systems. Works with leaders within IT&S, as well as across Summa Health, to meet business information system needs with the highest levels of value and user satisfaction.
Including the following Responsibilities:
• Direct the design, development, coding, testing, and debugging of applications to include provider and health plan applications
• Oversee all software development and integration team activities
• Coordinate and collaborate activities with Business Analytics teams to build architecture to improve operational outcomes
• Facilitates cloud-based data and analytics solutions for clinical services, business services, and operations by ensuring proper architecture, complete and reliable databases, and data integrity. Responsible for data integration and all middleware applications for health plan business operations
• Direct development of consumer/external engagement technology solutions for health plan including (members, agents, brokers, providers, and employers)
• Reports directly to the CIO, with dotted-line reporting to the SummaCare business owner for SummaCare.
Minimum Qualifications:
1. Formal Education Required:
a. Bachelor’s degree in business, Computer Science, or a degree in another healthcare-related field. Additional related experience may be substituted for up to two years of the educational requirement.
2. Experience & Training Required:
a. Ten (10) years of business systems IT experience, including 8 years in a senior-level role responsible for Health Plan applications, financial and/or health insurance applications, their selection, implementation, and life cycle support. At least 8 years of large-team supervisory experience recruiting, mentoring, career development, performance management, leadership and team building.
b. Thorough knowledge of application vendors and products utilized in healthcare is required, with demonstrated expertise in one or more focus areas:
1. Considerable experience in large-scale implementation and running of Health Plan (Health Edge, Tapestry, Cognizant) systems.
2. Management of a high-performing, cohesive team consisting of at least 20 members in application development, implementation and support.
3. Application of project management methodologies, service management principles, organizational change management, and technology architectures for a large-scale clinical enterprise.
c. Demonstrated leadership experience in a matrixed structure, liaising with middle and senior management to build cross-organizational consensus of a technology platform.
3. Other Skills, Competencies and Qualifications:
a. Strategic mindset with proven experience in business and/or IT strategic planning to drive strategic business results and outcomes
b. Experience working across business and technology organizations to identify synergies and drive process and operational improvements.
c. General knowledge of all IT disciplines and technology platforms
d. Knowledge of Agile and Lean principles
e. Design and implementation of application management processes and policies
f. Demonstrated broad knowledge of major aspects of IT operations, including project management, systems development, systems analysis and design, and budget administration
g. Working knowledge and use of Standard IT processes and methodologies (i.e. ITIL, PMI and SDLC)
h. Proven experience in IT application, data, mobility and infrastructure planning and development
i. Strong understanding and experience of the operational aspects of the health plan business and industry
j. Strong problem-solving and decision-making skills with excellent written and verbal communications skills.
k. Proven ability to communicate technical concepts to non-technical people to enhance understanding and drive decisions that lead to positive outcomes.
l. Ability to implement standards and operating metrics
m. Experience with negotiating and managing contract life cycles, with an emphasis on technology or IT service agreements.
n. Experience in managing large complex contracts in one or more IT categories, including hardware, software, service, and telecommunications.
o. Knowledge of information systems applications, technology, network, etc.; knowledge of MS Office products including Visio and MS Project.
p. High levels of personal integrity when conducting the professional affairs of the organization and dealing with sensitive and confidential data relating to risks and costs.
q. Demonstrated negotiation and conflict resolution expertise.
r. Calmness and clarity of thought while under pressure.
s. Ability to uphold the goals and culture of the organization.
t. Ability to lead, enable and motivate teams by providing advice and guidance in a nonjudgmental fashion.
u. Openness to, and the ability to deal with, rapid change in business needs, processes and technologies.
4. Level of Physical Demands:
a. Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently
$72.17/hr - $108.26/hr
The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.