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Job Description

As a Domain expert in Interoperability solutions with an understanding of Healthcare Payer/Provider clinical data exchange you will own and lead valuable deliveries that improve the health experience of our members.

You will lead and manage IT teams through successful delivery of solutions to address business needs. Manage on-going maintenance of related systems. Manage relationships with business and technology partners. Performs all people leader tasks. Maintain and enforce ideal architecture for applications under your domain.

With communication needs varying from technical and detailed to business focused and "C" suite consumable, you will be centered in the heart of making the bi-directional data exchange between payers and providers a reality.

What You’ll Do

+ Leads an IT Solution Delivery team responsible for the successful delivery of enterprise-wide projects.

+ Architects solutions and/or collaborates with architecture on solutions for applications under his/her domain.

+ Manage and guide the detailed design, development and integration activities for IT solutions.

+ Provides concurrent oversight to multiple projects generally accountable to a single business division.

+ Delivers complex communication of status and issues to senior leadership, VPs, and stakeholders in a clear and concise manner.

+ Accountable for managing relationship with business, vendors and other delivery partners.

+ Accountable for implementing technical solutions to adhere with IT guiding principles and imperatives.

+ Contribute to the evolution and delivery of the IT strategy inclusive of architectural patterns.

+ Accountable to maintain application health and performance through enforcement of architecture decisions that enable Blue Cross NC to better serve its members and constituents.

+ Perform analytic functions and coach team members in technical and analytical production.

+ Guides team through assessment of alternative systems approaches for workability and economic feasibility.

+ Responsible for end-to-end vendor management for IT partners.

+ Assist departments with strategic analysis to provide recommendations that ensure quality, cost effectiveness, goals, regulatory requirements and mandates are met through IT solutions in a timely fashion.

+ Provide direct reports with well-defined job expectations, ongoing performance feedback, accurate and timely performance appraisals, coaching, mentoring, training, conflict resolution

+ Play a key role in definition of the Solution Delivery Methodology and enforce the adherence of associated procedures

What You Bring

+ Must be knowledgeable in interoperability and HL7 FHIR.

+ Bachelor's degree or advanced degree (where required)

+ 3+ years plus of leading IT deployment teams.

+ 8+ years of experience in related field.

+ In lieu of degree, 10+ years of experience in related field.

Bonus Points

+ Payer/Provider clinical data exchange use-cases

+ background in SMART on FHIR Applications and strategies,

+ Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR Implementation Guides,

+ Epic Payer Platform integration and operations,

+ or similar experiences on the Hospital Information Systems roles for the same criteria.

What You’ll Get

+ The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community

+ Work-life balance, flexibility, and the autonomy to do great work

+ Medical, dental, and vision coverage along with numerous health and wellness programs

+ Parental leave and support plus adoption and surrogacy assistance

+ Career development programs and tuition reimbursement for continued education

+ 401k match including an annual company contribution

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

_*Based on annual corporate goal achievement and individual performance._

$105,600.00 - $191,800.00

Skills

About Us

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.

Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.

Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.

Authorization to Work in the United States

We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español.

Request Accommodations

Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at [email protected] .

For most roles, you can choose where to work - fully remote in one of the states listed below, in the office, or a hybrid of the two:

Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming