CareOregon Hiring for IS Development Manager – EDI at Portland, OR  Full Time

Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.

Job Title	IS Development Manager
Exemption Status	Exempt
Department	Business Intelligence
Manager Title	Director, Claims Systems and EDI
Direct Reports	Cross Functional Technical Team
Requisition #	23827
Pay and Benefits	Estimated hiring range $140,640 – $170,170 / year, 5% bonus target, full benefits. To learn more about our benefits, please visit www.careoregon.org/about-us/careers/benefits
Posting Notes	This role will oversee developers working with EDI technologies and SQL server.

Job Summary

This position is responsible for managing cross functional software development teams comprised of a range of technical roles and responsibilities. This position may be in charge of managing a team or teams which are focused in one or more of the areas such as Electronic Data Interchange (EDI), Web Development, Mobile Development, Architecture, Requirements Analysis, Quality Analysis, Technical Integration, etc.

The position assesses current technical architecture, evaluates, and proposes architectural and design changes and leads implementation of changes to system architecture to improve reliability, maintainability, and upgradability of the system. This position maintains oversight over technical choices, development of software code, configuration and infrastructure set up. Additionally, this position oversees and ensures the timely resolution of any production issues associated with the systems managed by their team.

Essential Responsibilities

Operational Planning and Oversight

• Participates in long-term systems architecture planning.
• Create systems architecture plans with focus on taking advantage of new cloud technologies, resolving challenges encountered today and to setting up system for scale to handle future volumes.
• Develops 18-to-24-month roadmap for system improvements in consultation with appropriate stakeholders.
• Plans and executes regular releases/upgrades as per agreed roadmap.
• Implements changes to system to support enterprise project requirements.
• Maintains visibility into vendor and partner roadmaps and appropriately adjust roadmaps, plans, and priorities to maintain low technical debt.
• Develops resource and capacity plans for team’s direction and roadmaps.
• Manages and oversees the operations and performance of all areas of responsibility to ensure organizational effectiveness.
• Works collaboratively with other teams within ISBI to provide expertise, support, and capacity to solve larger cross team challenges, facilitate resolution of intermittent issues and support processes spanning multiple teams.
• Develops and maintains strong relationships with stakeholders in other business units and peers in ISBI; collaborates effectively with these groups.
• Creates consistency in IS development processes and communicates these clearly to IS and non-IS groups.
• Communicates plans and intentions clearly to ISBI and Non-ISBI groups Incorporates best practices for design, architecture, development, and support.

• Leads the execution of strategic initiatives, plans, and goals and contributes to organizational vision and goals.
• Provides continuous evaluation of CareOregon’s systems in support of scale, agility, and stability to meet existing and emergent organizational needs.
• Establishes and maintains an implementation teams to implement near term and ongoing improvements to systems.
• Leads innovation, process reviews, and improvement efforts; improves processes and procedures to ensure compliance with regulatory bodies and statutes, including HIPPA standards for PHI protection and transmission.
• Refines business and systems requirements for new information technologies in support of application rationalization and modernization.
• Maintains and enhance existing systems; discontinue systems no longer cost effective.
• Lead teams in the building of application systems using a variety of software development tools including TSQL, SQL Server Integration Services, Visual Studio.Net and others.
• Develops, monitors, and reports on KPIs, metrics and SLAs across the team.
• Ensures compliance with internal auditing, HIPAA, and other federal regulations.
• Promotes ISBI programs and staff achievements across the organization through regular and transparent reporting, as well as publishing workplans.
• Provides operational leadership for ISBI teams by recommending, developing, and implementing third-party solutions.
• Acts as project leader on complex software development programs.
• Exercises sound business and technical judgement in making effective technical decisions for design and architecture of systems.
• Ensures technical documentation is established and maintained for systems and related components and processes for technical focus area.

Project Management and Participation

• Plans, organizes, manages, and monitors work projects.
• Acts as project manager for projects related to system improvements for technical focus area.
• Ensures project deliverables are met according to quality control schedules and standards.
• Develops plans and processes to eliminate need for internal project management team’s engagement for routine operational projects such as releases, version upgrades, technology stack upgrade, etc.
• Utilizes ServiceNow or similar tool for managing resources, work plans and commitments.
• Performs business needs analysis and develops functional requirements for technical focus area as needed.

Relationship Management

• Leads effective communication system for work groups, ensuring a collaborative culture.

• Builds and ensures effective relationships across internal teams and external organizations for current or future integration.
• Liaises between the IS Development teams, other IS groups and non-IS business partners.
• Partners with internal leaders and managers to identify improvement plans and processes.
• Partners with or leads other ISBI leaders in support of project management, release management, change management and incident management decisions and administration.
• Develops and maintains knowledge of CareOregon’s critical functions that support our members and patients; collaborates with stakeholders to understand informational requirements to support department goals.
• Represents CareOregon within and outside the organization, providing productive leadership presence and effectiveness.
• Establishes and maintains cooperative and productive working relationships with internal and external customers.
• Works collaboratively to resolve complex system problems and assist internal and external user departments as required.

Employee Supervision

• Manages team(s) and recommends team direction and goals in alignment with the organizational mission, vision, and values.
• Identifies work and staffing needs to meet work expectations; recruits and hires, using an equity, diversity, and inclusion lens.
• Plans, organizes, schedules, and monitors work; ensures employees have information and resources to meet job expectations.
• Leads the development, communication, and oversight of team and individual goals; ensures goals, expectations, and standards are clearly understood by staff.
• Trains, supervises, motivates, and coaches employees; provides support toward employee development.
• Incorporates guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, and decision making.
• Ensures team adheres to department and organizational standards, policies, and procedures.
• Evaluates employee performance and provides regular feedback to support success; recognizes strong performance and addresses performance gaps and accountability (corrective action).
• Performs supervisory tasks in collaboration with Human Resources as needed.

Organizational Responsibilities

• Perform work in alignment with the organization’s mission, vision and values.
• Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support of the organization’s strategic goals.
• Adhere to the organization’s policies, procedures and other relevant compliance needs.
• Perform other duties as needed.

Experience and/or Education

Required

• Minimum 8 years’ relevant experience, including 3 years leading information services teams; experience should include recent experience in the following areas:
  • Leading cross functional teams with senior software developers, Database Administrators, Quality Analysts, and Application Administrators
  • Leading teams accountable for systems design, implementation, and support
  • Leading teams through the re-architecture of business-critical systems
  • Leading teams through cloud migration of business-critical systems
  • Leading change within team and across the enterprise
  • Leading and maturing a service organization in an environment of diverse stakeholders and dynamic priorities
  • Experience working in health care payer/managed care organizations
  • Establishing and managing follow the sun model for support and in utilizing onshore/offshore resources to successfully augment team capacity
  • Experience with Agile frameworks

Preferred:

• Experience leading cross functional teams with senior software Healthcare EDI developers.

• Knowledge of EDI 834, 837, 820, 270, 271 transactions

• Experience with one or more of the following: QNXT , Biztalk, Edifecs

• Minimum 2 years’ experience in a supervisory position or minimum 1 year experience in a supervisory position with completion of CareOregon’s Aspiring Leaders Program
• Bachelor’s degree in Information Services, or technology related field
• For EDI focus:
  • Experience with MS Azure cloud specifically utilizing Logic Apps, containers, etc. for migrating use cases to cloud
  • Experience with migrating Biztalk to MS Azure Logic Apps or comparable solution
  • PMP or other project management training and experience in managing large projects

Knowledge, Skills and Abilities Required

Knowledge

• Technical knowledge and leadership skills in the areas of modern software development, production support, vendor management, and to successfully drive implementation of modern architecture
• Sound knowledge of systems and operations
• Expert knowledge of managing and leading Agile teams
• Software engineering and software design skills and knowledge
• Thorough knowledge of system development methodologies
• Knowledge of the basic concepts of managed care and ability to interpret contract language (strong knowledge of Managed Care concepts and Health Plan business processes preferred)
• Strong understanding of Medicaid and Medicare programs preferred

Skills and Abilities

• Strong basic computer applications skills (Access, PowerPoint, Excel, Word, and Outlook) and comprehension of computer programming concepts and practices
• Ability to manage and report on complex systems to internal and external leaders and partners
• Ability to manage architectural direction and drive modernization of business-critical systems
• Ability to lead and develop high performing team members, including hiring, goal setting, coaching, performance management, and development
• Ability to effectively convey team goals and plans ensuring integration into strategic plans and initiatives and understanding by other groups
• Excellent analytical and research skills
• Strong Project Management skills
• Ability to build and maintain professional relationships with business, community, and internal management groups
• Ability to take the initiative to see beyond the original request so that all logically related work is completed without needing a specific request for implied steps
• Ability to delegate and coordinate tasks for multiple people and projects
• Ability to manage the workloads of others and interact effectively and motivate staff to perform at their highest level
• Ability to manage and effectively resolve conflict within and across teams
• Ability to inspire and manage teams in support of continuous improvement related to complex, business critical systems
• Ability to communicate effectively, both verbally and in writing, including strong presentation and change management skills
• Skilled in communicating application or product or program effectiveness at all layers of an organization (staff and leaders)
• Ability to effectively collaborate and plan with coworkers and others
• Ability to lead, plan and manage in ambiguous environments and with high degree of uncertainty
• Ability to occasionally work outside of standard office hours
• Ability to consistently handle multiple projects and chronic deadline pressure
• Ability to make sound judgments as to how to architect and implement systems that build sustainable and scalable solutions
• Ability to make sound judgments as to how to prioritize work assignments
• Ability to continuously learn new systems and tools and stay up to date on modern technologies and practices
• Continuous learning required as new releases of development tools require retraining
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
• Ability to hear and speak clearly for at least 3-6 hours/day

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.

#Li-Remote #MULTI

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.