Job Description

• Description:
  This Organization is a healthcare enablement company that is transforming the way health care is accessed and delivered. Its innovative, customizable, sustainable solutions encourage patient activation and improve the quality of care — all at lower cost. They effect impactful change for self-funded plan sponsors, health systems, and TPAs through our extensive health care expertise
  
   
  The Director of Applications has responsibility for strategic development and execution of a quality program for system configuration and changes. The role is responsible for establishing a quality dashboard and implementing the changes needed to improve quality metrics.
  
   
  The position will be based in the corporate offices in the New York City Metro Area.
  
   
  Some of the position expectations and functions include:

  Actively develop and lead a team in establishing a QA program to support client configuration and support ongoing auditing of system changes.  

  Establishes processes to audit configuration before deployment to production to streamline timeline and minimize defects. Effectively utilize automated solutions to create greater productivity.

  Develop a key performance quality metrics reporting dashboard and make recommendations for process improvements.

  Interacts with internal/external customers to outline information for solution development and monitoring.

  Create and document best practices, standard operation procedures, process flows, functional and technical specifications, process maps for more standardized configuration across clients.

  Collaborate with and support Operations as needed to ensure the efficient processing and optimal performance.

  Develops detailed timeline, integrates project plans into other release schedules and works to resolve schedule and resource conflicts.

  The position offers a base salary ranging from $140,000 - $170,000 (depending upon experience), and includes an annual bonus. Expenses and benefits are also included.

• 
  Requirements:
  

  Bachelor's degree or equivalent experience.  BA Certifications and or PMP a plus

  Must have Healthcare Payor and/or TPA experience

  Extensive background in understanding claims system configuration including, benefit plans, accumulator exchange and provider contracts. Prior experience with implementing claims QA programs

  Prior background in implementing and managing automated testing tools

  Proven results in building and managing a team. Provides direction and guidance to team member. Sets goals for team to achieve and holds team accountable for results.

  Proven ability to map business process and workflows, ensuring requirements are tested and achieved.

  Excellent verbal/written communication skills; comfortable initiating conversations with both business and technology leaders within the organization, as well as the ability to translate business issues and requirements into technical solutions.

  Strong analytical and problem-solving skills; Ability to analyze problems and resolve issues through resolution quickly and methodically.

  Flexibility to adapt to change and willing to learn and develop new skill sets as applicable.

  Proficient with Word, Excel and PowerPoint, Visio

  Knowledge of BA/MS project tools MS Project, Excel, Visio

   
  Please forward resumes, as an attachment, in MS Word- format to: phoenixhs92@gmail.com

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