HealthTech Resources is seeking an experienced Associate Director to lead IT Claims Systems functions for a premier healthcare organization. This is an exciting opportunity to oversee the HealthRules Payer (HRP) and AMISYS claims systems, drive transformational change, and mentor a talented team. If you have a strong background in healthcare claims systems, Java/cloud technologies, and people management, we'd like to speak with you.
Primary Responsibilities
- Lead all efforts related to the AMISYS and HealthRules Payer (HRP) claims systems
- Maintain comprehensive knowledge of HRP, its configuration, and integrations
- Understand and support the organization's business domains, including membership, providers, authorizations, claims, and payments
- Manage HRP production schedules and transaction management support
- Lead HRP system lifecycle activities, including upgrades, enhancements, QA, and regulatory changes
- Develop policies, procedures, and documentation for the team
- Coordinate with other IT teams to ensure consistency across systems and projects
- Provide regular updates and recommendations to IT leadership
Key Qualifications
- Bachelor's degree in Computer Science, Business, or a related field (Master's preferred)
- 15+ years of IT experience in software development, implementation, and support
- 10+ years of experience in a lead or management role, with 8+ in an IT department
- 5+ years of experience managing a claims system with Java, Oracle, and UNIX
- 5+ years of experience working in a healthcare environment
- Proficient in Java 8, Apache Camel, Spring Boot, XML, Maven, web services, Linux, and SQL
- Extensive experience with Oracle or SQL Server
- Proven leadership and people management skills
- Excellent verbal and written communication abilities
- Experience with Agile, Scrum, Waterfall, and other project management methodologies
Opportunity Highlights
- Lead a critical healthcare IT function overseeing claims systems
- Chance to drive transformational change and leverage new technologies
- Work with a talented team and enhance your technical and leadership skills
- Competitive salary commensurate with experience