Regional managed care organization.
This position will report directly to the Chief Executive Officer and ultimately manage a team of approximately 100.
The CIO will provide technology vision and leadership for designing and implementing information technology (IT) initiatives and solutions to improve cost effectiveness, service delivery, and program development in the constantly changing public sector. The CIO will lead the LME/MCO in planning and implementing enterprise information systems to support both distributed and centralized operations and achieve more efficient and effective enterprise-wide IT operations; lead diverse teams in the day-to-day operations and be responsible for leading the organization’s technology aspects of Medicaid transformation to a Tailored Plan with a $10 million investment plan. This leader is responsible for making the connection between the business strategy and the technology roadmap to achieve the most effective results for the organization and its members.
Specific duties will include, but not necessarily be limited to:
- Provide strategic and tactical planning, development, evaluation, and coordination of the information and technology systems for the LME/MCO; ensure continuous delivery and operation of the LME/MCO’s information systems.
- Coordinate, facilitate, and consult with all LME/MCO staff on information systems, technology, and management systems initiatives; ensure the LME/MCO is current with the information systems standards and compliance set by appropriate regulatory entities and legislation.
- Participate proactively with executives and senior managers in developing and executing strategic plans to optimize the use of information technology in support of LME/MCO objectives. Participate in policy and decision-making at the enterprise level regarding resource allocation and future direction and control of proposed information systems.
- Develop and maintain an appropriate organizational structure capable of driving transformation and business partnerships to ensure strong business relationships aligned to the organization’s priorities.
- Develop and enforce policies and procedures to ensure the protection of enterprise IT assets and the integrity, security of information entrusted to or maintained by the enterprise.
- Maintain up to date IT plan for periodical board presentations.
- Partner with the leadership team to drive an organization-wide transformation to Tailored Plan.
- Manage vendors and contracts in line with the organization guidelines for service providers and procurement.
- Work with DHHS and other officials in connection with the State’s Health Insurance Exchange.
- Participate on the Duke Margolis Interoperability Accelerator board.
- 15-20 years IT industry, consulting, or business experience; minimum of 10 years leadership experience leading large, integrated teams.
- Superior IT leadership skills; willing to be hands-on and strategic.
- Knows the healthcare industry, the complexity of the industry, and the information and technology requirements and innovation on the horizon.
- Comprehensive knowledge and understanding of applications, business intelligence, and infrastructure architecture, as well as operating in a cloud-based, SaaS model.
- Thorough knowledge of HIPAA data management requirements, healthcare systems knowledge, and governmental reporting requirements.
- Ability to understand and apply a wide range of federal, state, and local laws and regulations related to governmental fiscal and program operations.
- Ability to critically review reports and prepare recommendations from such review.
- Ability to perform workflow analyses and identify and implement appropriate actions to accommodate staffing shortages.
- Ability to train, mentor, and coach staff effectively.
- Ability to develop a broad understanding of the organization.
- Familiarity with IT standards preferred (ITIL, TOGAF, PMBOK, etc.).
- Experience with highly regulated industry, high security requirements.
- Experience with healthcare platforms and the integration of multiple cloud-based applications.
- Experience working for or with managed care organizations and Medicaid, including preparing for state IT review and readiness, open enrollment, customer service, claims processing, and encounter submission a plus.
- Bachelor’s degree in engineering, computer science, information systems management, or similar degree; Master’s degree is preferred.
Compensation will be commensurate with experience including a competitive base salary, bonus opportunity, and competitive benefits package.