Job Description

As a Domain expert in IT Healthcare Integrations and Interoperability solutions with an understanding of Healthcare Payer/Provider clinical data exchange you will own and lead valuable deliveries that improve the health experience of our members. This role will interact and participate in the implementation and operation of Epic Payer Platform. Experience with Epic EHR and/or Epic Payer Platform implementation or operations will give an edge to applicants.

You will lead and manage IT teams through successful delivery of solutions to address business needs. Manage on-going maintenance of related systems. Manage relationships with business and technology partners. Performs all people leader tasks. Maintain and enforce ideal architecture for applications under your domain.

With communication needs varying from technical and detailed to business focused and "C" suite consumable, you will be centered in the heart of making the bi-directional data exchange between payers and providers a reality.

What You'll Do

• Leads an IT Solution Delivery team responsible for the successful delivery of enterprise-wide projects.

• Align and guide your business partners and collaborate on Delivery roadmap to meet KPIs and Milestones.

• Align technology stack, delivery team, delivery partner planning and vendor partners to the multi-year delivery roadmap.

• Stay up to date on the Interoperability standards, versions, Implementation Guides and industry movement to keep BCBSNC in a forward position within the Interoperability space.

• Contribute and steer architecture solutions and/or collaborates with architecture on solutions for applications under his/her domain.

• Manage and guide the detailed design, development and integration activities for IT solutions.

• Provides concurrent oversight to multiple projects generally accountable to a single business division.

• Delivers complex communication of status and issues to senior leadership, VPs, and stakeholders in a clear and concise manner.

• Accountable for managing relationships with internal and external business stakeholders, vendors and other delivery partners.

• Accountable for implementing technical solutions to adhere with IT guiding principles and imperatives.

• Contribute to the evolution and delivery of the IT strategy inclusive of architectural patterns, standards and best practices.

• Accountable to maintain application health and performance through enforcement of architecture decisions that enable Blue Cross NC to better serve its members and constituents.

• Perform analytic functions and coach team members in technical and analytical production.

• Guides team through assessment of alternative systems approaches for workability and economic feasibility.

• Responsible for end-to-end vendor management for IT partners.

• Assist departments with strategic analysis to provide recommendations that ensure quality, cost effectiveness, goals, regulatory requirements and mandates are met through IT solutions in a timely fashion.

• Provide direct reports with well-defined job expectations, ongoing performance feedback, accurate and timely performance appraisals, coaching, mentoring, training, conflict resolution

• Play a key role in definition of the Solution Delivery Methodology and enforce the adherence of associated procedures

What You Bring

• Bachelor's degree or advanced degree (where required)

• 3+ years plus of leading IT deployment teams.

• 8+ years of experience in related field.

• In lieu of degree, 10+ years of experience in related field.

Bonus Points

• Payer/Provider clinical data exchange use-cases

• background in SMART on FHIR Applications and strategies,

• Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR Implementation Guides,

• Epic Payer Platform integration and operations,

• or similar experiences on the Hospital Information Systems roles for the same criteria.
• Knowledge in interoperability and HL7 FHIR, FHIR work groups and governing bodies (Da Vinci, Carin, Sequoia, NCQA, CMS, etc.).

What You'll Get

• The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community

• Work-life balance, flexibility, and the autonomy to do great work

• Medical, dental, and vision coverage along with numerous health and wellness programs

• Parental leave and support plus adoption and surrogacy assistance

• Career development programs and tuition reimbursement for continued education

• 401k match including an annual company contribution

Where You'll Work

Our Hybrid Flex approach is built on presence with a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplace that's flexible, connected, and future focused.

In a Hybrid-Flex role, you'll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you'll work virtually, with a few in-office visits each year for meaningful moments that matter.

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$130,560.00 - $208,896.00

Skills
Data Integration, Data Solutions, Data Warehousing (DW), Enterprise Data, Information Technology (IT), Information Technology (IT) Projects, Information Technology (IT) Services, Information Technology Infrastructure Library (ITIL), Information Technology Management, IT Leadership, IT Service Management (ITSM), People Management, Performance Analysis, Solutions Delivery, Technical Solutions, Technology Solution Delivery