Director of Health Plan MLTSS Applications

Job Details
Director of Health Plan MLTSS Applications

Job Description

JOB SUMMARY

The Director leads IT teams in executing projects and managing operations to support the organization's business strategy and technology roadmap. This role oversees the design, development, and maintenance of software solutions and applications that enable health plan operations while ensuring compliance with healthcare regulations. Responsibilities include managing application development, system configuration, integration services, and user support to maintain data accuracy, security, and operational efficiency. Additionally, the position supports testing, deployment, maintenance, and enhancements to improve member experience and facilitate effective communication.

ESSENTIAL FUNCTIONS

• Manage team capacity by effectively assigning tasks and aligning work efforts, while seeking additional resources when necessary and maintaining control over project budgets.
• Plan projects and coordinate work efforts in collaboration with business stakeholders and cross-functional teams to ensure alignment with organizational goals.
• Oversee the quality of project delivery by monitoring progress, ensuring successful go-live execution, and addressing operational issues until full resolution is achieved.
• Develop and maintain strong relationships with business partners, providing strategic input into roadmaps, vendor selection processes, and overall contract management.
• Ensure continuous communication and collaboration across all involved parties to support timely decision-making and successful project outcomes.

ADDITIONAL RESPONSIBILITIES

• ORGANIZATIONAL IMPACT: Manages a sub-function within IS&T that may include multiple teams led by managers and/or supervisors. Recommends operational plans and strategies that will directly impact the achievement of overall functional results. Manages the execution of strategies established by functional leadership. Work requires a high degree of responsibility for resources, and frequently influences business decisions made by functional leadership. Typically has budget or P&L accountability for sub-function managed.
• INNOVATION & COMPLEXITY: Responsible for making significant improvements of processes, systems or products to enhance performance of job area. Problems and issues faced are numerous and undefined, where information is typically difficult to obtain. Problems are difficult and frequently complex and typically impact multiple job areas or specialties. Conducts extensive investigation to understand the root cause of problems. Problems are typically solved through drawing from prior experience and analysis of issues. Frequently executes complex tasks to enhance simplicity and standardization across Jefferson.
• COMMUNICATION & INFLUENCE: Communicates with parties within and outside of own job area, and typically has responsibilities for communicating with external parties, which may include customers or vendors. Works to influence others to accept job area's view/practices and agree/accept new concepts, practices and approaches. Requires ability to communicate with and influence senior leadership regarding matters of significant importance both within IS&T and across Jefferson. May conduct briefings with senior leaders within IS&T. May at times be required to negotiate regarding operational issues.

QUALIFICATIONS

Education - Required

• Bachelor's Degree in related field

Experience - Required

• 10 years related work experience

VALUES AND HABITS

Put People First

• Put People First: Create a safe environment where all colleagues feel supported and motivated to be their best at work.
• Build relationships: Build belonging, empathy, and collaboration.
• Engage with grace: Assume positive intent and share your perspective thoughtfully.
• Create moments: Affirm and acknowledge the contributions and efforts of others.

Do What's Right

• Do What's Right: Focus on how we work most effectively to get the best results.
• Prioritize What Matters: Clarify what's most critical and why.
• Align on Expectations: Translate priorities into agreed upon accountabilities and outcomes.
• Act with integrity: Behave ethically and honestly in all interactions and business practices.

Pursue Excellence

• Pursue Excellence: Focus on learning and growth.
• Look and Listen: Explore new ways of working and stay curious by learning from others.
• Innovate with Intent: Try new ideas that support organizational priorities.
• Value Lessons Learned: Acknowledge progress and insights that come from striving to improve.

Work Shift
Workday Day (United States of America)

Worker Sub Type
Regular

Employee Entity
Thomas Jefferson University Hospitals, Inc.
Primary Location Address
1101 Market, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.


Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.


Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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