Mgr - IT Business Medicaid Claims Services - Hybrid

PURPOSE OF THE JOB

The IT Business Manager position is responsible for the Claims Services teams. The teams consist of technical resources, business analysts, and other critical roles supporting claims related aspects of the business. Collaboration with all lines of business while guiding and implementing best practices around claims processing for the organization is critical. This position is also responsible for maintaining the relationship, budget and timely delivery of several large vendor partners and tracking many smaller contracts/budgets as well.

Required Qualifications

• Required Work Experience: 3 years of leadership experience with proven ability to provide effective technical solutions to meet business needs

• Required Education: High-School Diploma or GED in general field of study

• Required Licenses: N/A

• Required Certifications: N/A

Preferred Qualifications

• Preferred Work Experience: 3 years of IT management experience with demonstrated leadership responsibilities and direct people management

• Preferred Work Experience: 2 years of experience managing and leading people in an Agile environment

• Preferred Work Experience: 2 years of experience working in health care business or IT environments

• Preferred Education: Master’s Degree in business, computer science or related field

• Preferred Licenses: N/A

• Preferred Certifications: N/A

Essential Job Functions And Responsibilities

• Develop a culture of trust, accountability, teamwork, high quality results and continuous improvement

• Demonstrate leadership abilities along with good judgment and decision-making skills

• Monitor individual employee performance; help resolve both technical problems as well as human resources issues

• Provide leadership and guidance to coach, motivate, and lead team members to their optimum performance levels and career development

• Hold team members accountable for adhering to corporate policies and procedures

• Hire and coach employees

• Manage individual performance objectives and yearly reviews

• Develop and maintain high performing teams that provide quality and timely delivery of business objectives

• Develop, execute and maintain staffing and training plans to ensure the department is appropriately staffed and is able to provide the technical skills needed to support the enterprise

• Provide recognition and corrective feedback to employees regularly

• Responsible to facilitate and ensure a positive employee experience in the onboarding, engagement and development of new team members in a manner that provides guidance, inspiration and accountability

• Provide leadership and mentoring to team members on behaviors, processes and techniques required to successfully deliver value to the organization

• Remove impediments, manage risks and resolve issues

• Regularly attend team ceremonies with the exception of Retrospectives

• Reinforce Agile practices with team members

• Drive resolution to team capacity issues

• Manage relationships across the organization to ensure alignment of goals and consistency of practices, processes and timelines

• Other duties as assigned

Required Competencies

• The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers

• Strong leadership, collaboration, and influencing skills are required

• Must have the ability to persuade and build consensus cross-functionally as an evangelist in a team-oriented fashion

• Knowledge and experience with application technologies implemented within delivery organization

• Experience and knowledge in current technical architectures

• The ability to take appropriate risks, using available data

• Ability to build synergy with a diverse team in an ever-changing environment

• Anticipate downstream technical needs and steer architectural designs to appropriately factor in considerations

• Strong analytical skills to support independent and effective decisions

• Strong verbal and written communications skills and the ability to interact professionally with a diverse group of executives, managers, and subject matter experts

• Able to operate at varying levels of abstraction including business and product strategy, design, and implementation

Preferred Competencies

• Knowledge and understanding of health care processes and applications, specifically claims processing

• Knowledge and understanding of Agile practices and application development practices

• Ability to take appropriate risks, using available data

• Ability to build synergy with a diverse team in an ever-changing environment

• Anticipate downstream technical needs and steer architectural designs to appropriately factor in considerations

• Strong analytical skills to support independent and effective decisions

• Strong verbal and written communications skills and the ability to interact professionally with a diverse group of executives, managers, and subject matter experts

• Able to operate at varying levels of abstraction including business and product strategy, design, and implementation

• Knowledge and understanding of health care processes and applications, specifically claims processing

• Knowledge and understanding of Agile practices and application development practices

• Advanced tactical planning and decision analysis skills

• Able to cope with multiple priorities and high customer expectations and bridge the demands between internal and external customers

• Advanced understanding of information systems, business processes and key drivers and measures fo success

• Advanced analytical and diagnostic skills dealing with issues that are often novel and not readily defined, lack known precedent or appear contradictory

• Develop solutions by applying accepted processes or create new approaches to leverage technology from abstract information

• Advanced understanding of HIPAA transactions and privacy requirements

• Presentation and public speaking abilities

• Development and application of budgeting concepts, processes and procedures

• Interpret medical, legal and technical data, including state and federal regulations and their effect on operations

• Conceptualize new business architecture and infrastructure

• Identify resources and training needs while fostering opportunities for staff growth

• Empower associates at all levels and encourage innovation and risk taking

• Develop an enthusiastic and positive work environment with positive impact to employee engagement

• Negotiation and influencing skills with the ability to create win/win situations

• Resource management skills