Job Title | Director, Claims Systems and Electronic Data Interchange |
Exemption Status | Exempt |
Department | Business Intelligence |
Manager Title | Vice President, Analytics & Development |
Direct Reports | Claims Systems Management |
Requisition # | 23238 |
Job Summary
This position is responsible for the development and execution of the health and ongoing maintenance of our primary claims processing environment and Electronic Data Interchange (EDI) systems for all CO lines of business, as well as contracted services to Health Share of Oregon. Work is focused on aligning ISBI resources to CareOregon’s strategic and operational goals, developing roadmaps, vendor management, and active engagement with department leaders across the enterprise. Primary duties include strategic, technical, and operational planning and oversight, as well as resource, relationship, and people management This position is responsible for the development of strategic plans for Claims and EDI systems with focus on modernization and reducing risk and improving maintainability of these system. This position is also a key contributor for developing plans for the broader organization.
Essential Responsibilities
Technical/Operational Leadership
Strategic/Operational Planning
Financial/Resource Management
Relationship Management
Employee Supervision
Organizational Responsibilities
Experience and/or Education
Required
Preferred
Knowledge, Skills and Abilities Required
Knowledge
Skills and Abilities
Working Conditions
Indoor/Office Community Facilities/Security Outdoor Exposure
Member/Patient Facing: No Telephonic In Person
Hazards: May include, but not limited to, physical and ergonomic hazards.
Equipment: General office equipment
Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.
Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment
Veterans are strongly encouraged to apply.
Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
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We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics. The EEO is the Law poster is available here.
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