Chief Information Officer

About Amida Care

Amida Care, the largest Medicaid HIV Special Needs Plan in NY, delivers a uniquely effective care model that has become a true benchmark for innovation, engagement and member health outcomes. Our mission is to provide access to comprehensive care and coordinated services that facilitate positive health outcomes and general well-being for our members. This true integrative care model addresses psychosocial, housing, behavioral and medical services directly evolving around the needs of each member.

Position Description

The Chief Information Officer (CIO) is a key member of the Amida Care Officer and Executive Teams with accountability and responsibility for leading the creation and interpretation of data and information to drive sustained high performance (clinical, financial, operational, and organizational) and new/expanded capabilities at Amida Care. The CIO must be a thought and action leader in all aspects of the role. The primary scope of the CIO role is twofold:

  • It is the responsibility of this role to develop advanced healthcare analysis capabilities that support the organization’s continuous improvement and to inform critical strategic decisions.
  • The CIO must build and maintain leading edge, yet cost-effective, information technology (IT), including all software and systems, to enable the most effective use of data (and to maximize the power of insights derived from data). The role will engage and support senior leaders to drive data-based insights into decisions and performance improvement in all areas of the organization. These critical aspects of the role must be achieved within the tight budgetary constraints of NYS Medicaid Managed Care premium revenue, the sole source of revenue for the health plan at this time.

Analysis

The CIO will have access to all the data in the organization and must organize and analyze data and report data (and insights derived from data) to management and staff across all departments of the organization (“democratize data”). The CIO must also ensure Amida Care’s market-leading use of data (and analysis) to support external partners (in particular, healthcare providers) and strengthen performance in key business relationships. In this capacity, the CIO must be an expert in the tools and processes for interrogation of large and complex datasets.

  • The CIO must also maintain expertise in the knowledge and use of industry/market data to be used for baselines and benchmarks and to model “best practice” performance.
  • The CIO must be an effective teacher and guide to develop analytical capabilities within the IT area as well as across the organization. To optimize the de-centralization of data/analysis/reporting capabilities, the CIO must also enable and support the independent access and use of data across the organization (vs. the current model of dependency on IT as the central gateway for data involving “funneling” and “bottlenecking” of requests/tickets).

Information Systems/Technology

Providing leadership for the IT department, which organizationally is composed of:

  • Analysis and Reporting;
  • Data Governance and Data Operations;
  • Facilities;
  • Network Operations (including Help Desk) and Systems (e.g., T.E.A.M. Connect); and
  • Project Management (Development and Implementation for Projects Related to Data, Software and Systems).
  • Direct Reports include VP of IT as well as Directors of Data and Software, Network and Infrastructure and IT Project Management.
  • Directs the development of the IT vision, strategy and roadmap, based on Amida Care strategy and business needs.
  • A key role for the CIO is to lead Amida Care’s powerful member operations platform – T.E.A.M. Connect (Together Everyone Achieves More) – to the next level of adoption (use), performance and impact. T.E.A.M. Connect is built on a Salesforce chassis with clinical and operational functions that are highly customized to provide service and supports to members and populations living with multiple chronic conditions. The system is an integrated platform that enables real time (anywhere/anytime) access to member information and dynamic functionality for member service and care coordination/planning.
  • Serves as a trusted advisor for running the business based on analysis and data-based insights and ensuring that Amida Care’s technology solutions are “best options” within budgetary framework; builds and maintains relationships with other executives to understand business needs; ensures cost-effective delivery of IS services to meet those needs, responds with agility to changing business priorities.
  • Uses influence and negotiation to create collaboration to enable cost-effective and innovative shared solutions in achievement of business goals.
  • Participates in the guidance and direction of the organization as a member of the Officer Team.
  • Stays current on new technologies; provides direction to the IS team on emerging technologies. Provides strategic direction in the IS organization’s innovation efforts and role in experimenting with new solutions to take advantage of those opportunities.
  • Provides strategic direction and oversight for the design, development, operation and support of IT systems, including enterprise architecture management, application management, security and risk management, and infrastructure and operations support management.
  • Assesses current and future information and technology needs of the organization.
  • Communicates strategic recommendations about operations, implementation, and security issues to senior leadership.
  • Partners with peers within the organization and at outside partners.
  • Develops standards and processes for the protection of information systems against cyberattacks and other threats.
  • Manages day-to-day operations of the IT department, including personnel development and performance issues.
  • Directs financial activities of the IT department, such as the development of the annual IT budget.
  • Oversees software implementations and integrations.
  • On an ongoing basis, assesses new technologies and system enhancement.
  • Evaluates and negotiates Data and IT-related vendors; evaluates and negotiates Data and IT-related components of other vendor contracts.
  • Ensures all Data and IT-related service level agreements are being met.
  • Optimizes IT systems.
  • Improves information flow – internally up/down/across the organization, externally with partners, stakeholders, and regulators.

Data Analytics

  • Builds and leads staff and vendor relationships for development, design, deployment, and daily operations of business analytics in support of various strategic planning and enterprise program initiatives.
  • Leads and directs the work of business analytics, including but not limited to statistical analysis, predictive modeling, and dynamic business models.
  • Applies expert knowledge of business and economic principles to conceptualize, lead, produce, interpret, and communicate advanced clinical financial analyses.
  • On an ongoing basis, provides data analytic thought delivery leadership and support for strategic development and execution.
  • Collaborates across the enterprise and provide sound analysis for decision-making. Leads data analytics strategies for the overall business Value Based contracting initiatives and Quality and Care Management to manage the total cost of care.

Education and Experience

  • MBA, Master’s Degree in IT, Management of Information Science, Healthcare Data, Quantitative Analysis, Informatics, Technology, Data Science or Business Analytics. PhD highly preferred.
  • Minimum of ten (10) plus years of experience in IT, quantitative analysis, data analytics, business intelligence and management. Demonstrated expertise in management and application of particularly relevant analytical methods in a healthcare/managed care domain (payor/provider). Experience in strategic planning and execution. Considerable knowledge of business theory, business processes, leadership, and healthcare/managed care budgeting. Substantial exposure to information technology hardware platforms, enterprise software applications, outsourced/cloud solutions and business analytics and business intelligence.

The duties listed above are intended only as general illustrations of the various types of work that may be performed. Specific statements of duties not included does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

Position Description »