Director, IS Core Applications

Are you excited to step into a complex world that requires a blend of mind, heart and flexibility? We at CareOregon have been strengthening communities since 1994 by making health care work for everyone. As a nonprofit health plan largely focused on Oregon’s Medicaid population, we find fulfillment in supporting the underserved.

General Statement of Duties
This position is responsible for the development and execution of applications strategy and performance of core technology systems across the organization. This position oversees internal teams and technology vendors in support of strategic initiatives. The majority of time is focused on business group oversight, with secondary time on enterprise-wide engagement. Primary duties strategic and operational leadership and planning, as well as resource, relationship, and people management. This position provides input into strategic plans for the broader organization and to the Vice President of Information Systems. The position is part of the Information Services leadership team, focused on building out meaningful, tangible technology partnerships, both within our existing ecosystem and expanding to new solutions.

Technical/Operational Leadership

Provides functional oversight to multiple areas in support of IS initiatives; areas of oversight include Product Owner, Claims System Coordination, and Provider and Encounter Data teams.
Leads the execution of strategic initiatives, plans, and goals in alignment with organizational vision and goals.
Works closely with business executives and stakeholders to provide strategic and operational leadership of IS teams.
Leads engagements with technology partners to assess and align product roadmaps in support of department and organizational goals.
Collaborates with Line of Business, Benefit, and Operations leaders, as well as other key stakeholders, to identify, select, and oversee strategic and emerging vendors.
Partners with key team members, departmental heads, and executives to identify vendor needs and manage the vendor portfolio.
Leads escalations related to vendors to manage risk, leading issue resolution at senior operational and executive levels.
Uses internal and external data to evaluate the vendor management activity in relation to ROI goals.
Develops, reports and oversees key performance indicators to monitor vendor performance.
Participates in the development, implementation, management and evaluating vendors performance in support of department’s Key Performance Indicators (KPIs).
Ensures stakeholder concerns are identified, investigated, and resolved effectively..
Identifies and implements improvements to the vendor/contract management process, including establishing or adhering to standards for contract language and performance evaluation.
Provides risk management activities related to the vendor management program, including but not limited to, risk assessments, delegation oversight, and process improvements.
Contributes to an internal culture of innovative thinking that aligns with the company’s mission.
Develops internal systems and measures to ensure effective, efficient, and compliant operations.
Develops and regularly monitors and reports on performance against metrics.
Leads innovation, process review, and improvement efforts; improves processes and procedures to ensure population data products comply with regulatory bodies and statutes, including HIPAA standards for PHI protection and transmission.
Acts as project leader or sponsor on complex portfolio planning for key external applications.
Serves as the technology liaison with external partners; collaborates with product and engineering teams to help maintain existing and build new integrations and features, improve the platform, and grow the integration ecosystem.
Ensures effective process documentation is in place for partner integration maintenance (e.g., system issue reporting, contacts, resolution, etc.).
Stays up-to-date on the evolution of the partner roadmaps and business plans; ensures process documents are updated through regular (at least quarterly) cadence of product roadmap syncs with each entity.
Strategic/Operational Planning

Leads the strategic development, management, and operation of CareOregon’s System Coordination team, as well as the Provider and Encounter Data teams.
Participates in the development of vision, goals, and strategic plans across information systems.
Develops both short and long term plans and policies; oversees the development and execution of standard operating procedures.
Provides input into strategic plans with the Directors of Infrastructure and Operations, Analytics and Development, and Vice President of Information Systems.
Maintains a business unit and member view while establishing department priorities, being cognizant of broader business unit and organizational impacts.
Enables CareOregon operations, benefits, and lines of leaders through close partner technical collaborations to drive joint customer wins and success stories

Financial/Resource Management

Ensures team efforts align with organization priorities in a dynamically changing environment.
Ensures effective management of multiple internally developed and 3rd party applications critical to organizational operations.
Partners with resource directors and managers to develop a work management and intake process.
Recommends budgets in alignment with both short and long term plans.
Manages resources to ensure priorities are accomplished.
Approves resource allocations within budget, including people, finances, and timelines; make decisions on exceptions.

Relationship Management

Leads effective communication system for work groups, ensuring a collaborative culture.
Builds and ensures effective relationships across internal teams and external organizations for current or future integration.
Partners with internal leaders and managers in identifying improvement plans and processes.
Partners with other IS leaders in support of project management, release management, change management and incident management.
Partners with the Legal Affairs team regarding vendor agreements, delegation oversight, and other areas of integration.
Acts as the primary technical liaison between CareOregon and key technology partners.
Develops and maintains knowledge of CareOregon’s critical functions in support of our members and patients; collaborates with stakeholders to understand informational requirements to support department goals.
Represents CareOregon within and outside the organization, providing productive leadership presence and effectiveness.

People Management

Directs team(s) and establishes team and management goals.
Provides team members with ongoing understanding of business unit plans and expectations; communicates in a manner that underscores the value of team and staff roles.
Performs employment functions in collaboration with Human Resources, including staffing, recruitment, performance management, professional development, and termination.
Coaches, motivates, and recognizes staff.
Creates opportunities for professional development, including job families, development plans, and regular and constructive feedback.
Collaboratively develops support models spanning all IS teams to effectively leverage staff and promote individual development.
Leads the development of performance goals, measurement, and evaluation of results.
Ensures participation in required training initiatives and organizational activities, as well as adherence to external regulations and internal policies.
Drives a culture of accountability and success in alignment with the organizational mission, vision, and values.

Essential Department and Organizational Functions
Supports and operates in alignment with the organization’s core values.
Strives to meet work goals that contribute to departmental and organizational goals.
Adheres to organizational standards, policies and procedures, as well as compliance requirements.
Performs other duties as assigned.

Knowledge, Skills and Abilities
Ability to manage and report on complex IS and Analytics solutions to internal and external leaders and partners
Technical knowledge and leadership skills in the areas of development, support, vendor management, and program evaluation
Working knowledge with one or more development frameworks (Agile, Waterfall, etc.)
Ability to lead teams accountable for translating analytic and statistical findings into actionable information for clinical or business consumers
Understanding of financial structures, fiscal responsibility, and the economic impact of business decisions
Ability to balance strategic and operational thinking
Ability to effectively convey business unit goals and plans ensuring integration into strategic plans and initiatives
Highly skilled in resource management
Ability to develop and lead high performing team members, including hiring, goal setting, coaching, performance management, and development
Ability to communicate effectively, both verbally and in writing, including strong presentation and change management skills
Skilled in communicating application or analytics program effectiveness at all layers of an organization (staff, leaders, and Board)
Ability to build and maintain professional relationships with business, community and internal management groups
Strong knowledge of Managed Care concepts and Health Plan business processes preferred
Strong understanding of Medicaid and Medicare programs preferred

Physical Skills and Abilities
Lifting/Carrying up to 0 Pounds

Pushing/Pulling up to 0 Pounds

Pinching/Retrieving Small Objects

Crouching/Crawling

Reaching

Climbing Stairs

Repetitive Finger/Wrist/Elbow/

Shoulder/Neck Movement

0 hours/day

0 hours/day

0 hours/day

0 hours/day

0 hours/day

0 hours/day

More than 6 hours/day

Standing

Walking

Sitting

Bending

Seeing

Reading

Hearing

Speaking Clearly

0 hours/day

0 hours/day

0 hours/day

0 hours/day

More than 6 hours/day

More than 6 hours/day

3-6 hours/day

3-6 hours/day

Cognitive and Other Skills and Abilities

Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.

Education and/or Experience

Required:

Minimum 10 years’ relevant experience, including 3 years managing information services teams; experience should include the following:
Leading teams in development, support, vendor management, and program evaluation
Leading teams through a time of significant organizational change
Leading and maturing a service organization in an environment of diverse stakeholders and dynamic priorities
Communicating application or analytics program effectiveness at all layers of an organization (staff, leaders, and Board)
Demonstrated understanding of healthcare operations; technical healthcare experience in one or more of the following:
Claims, membership, authorizations, encounters, and customer service/contact center system implementations and/or administration
Preferred:

Experience supporting Oral Health, Behavioral Health, and Non-emergency-medical-transportation (NEMT) systems
Experience leading teams operating within a structured framework (ITSM, ITIL, etc.)
Experience working in health care/managed care
Degree in Business, Health Sciences, Analytics, or Statistics helpful

Working Conditions

Environment: This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):
☒ Inside/office ☐ Clinics/health facilities ☐ Member homes

☐ Other_________________________________________

Travel: This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.
Equipment: General office equipment
Hazards: n/a
Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment

Veterans are strongly encouraged to apply.

Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Position Description »