Manager Information Technology Systems- Health Plan

Location

Location:

Mockingbird Towers 4th FLR

PCHP
- Parkland Community Health Plan

Parkland Community Health Plan's (PCHP's) Manager of IT Application Systems is responsible for the ongoing planning, design, implementation, integration, maintenance, and support of its core business / clinical solutions.

• Associate degree in information systems / computer science or related discipline, or in healthcare related field is required.
• Bachelor's degree in information systems / computer science or related discipline, or in healthcare related field preferred.

• Eight (8) years of progressive experience implementing and supporting IT applications in healthcare environment.
• Six (6) years of experience managing technical resources in the implementation, integration, and support of complex healthcare IT solutions.
• Four (4) years of experience implementing, integrating, and maintaining Health Plan (Payer) application functions, such as Claims, UM, and Care Management. Specific experience with Texas Medicaid programs is preferred.
• Four (4) years of experience managing complex IT projects that require engagement of both technical and business resources while working with technology solution vendors.
• Specific experience with Cognizant QNXT and Care Advance solutions in a managed-care organization preferred.

• Project management or Six Sigma certification preferred.

• Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms.
• Demonstrated ability to coach and influence for results.
• Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization.
• Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals.
• Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups.
• Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities.
• Strong analytical and problem-solving skills.
• Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual.
• Sound business acumen.
• Proficient Microsoft Office and computer skills.

• Responsible for the ongoing operation of PCHP's core application systems, including enhancements, upgrades, routine maintenance, and integration with other systems.
• Manages the day-to-day activities of a team of analysts, architects, and other designated resources whose duties support the ongoing operation of PCHP's core application systems, including but not limited to Enrollment, Provider Management, Claims & Encounter Processing, Utilization Management, and Care Management.
• The Manager will assign and monitor work, track incidents and requests, and report status across active implementation projects while giving hands-on direction and guidance to team members.
• Works with stakeholders across organization to optimize the configurations and workflows in support of PCHP's changing business landscape, including adoption of requirements to meet regulatory mandates.
• Documents and presents proposed IT solutions, gathering input and refining final project proposals.
• Serves as SME for system integration requirements both within and outside the organization.
• Works with other IT Teams and PCHP vendors to plan, design, and implement optimal solutions.
• Maintains vendor relationships and holds vendors accountable on contractual deliverables and Service-level agreements.
• Serves as PCHP representative for MCO MIS related activities, ensuring ongoing compliance with HHSC change initiatives and regulatory requirements…