Lead the development, integration, and deployment of health plan applications and system enhancements, ensuring solutions are delivered and operational
Oversee core health plan systems including claims adjudication platforms, EDI/X12 transactions, CRM systems, data warehouses, and reporting/analytics tools
Manage integrations between health plan systems, provider systems, and external partners using EDI, APIs, and HIE connectivity.
Translate business and operational requirements into technical solutions while coordinating with enterprise architecture and infrastructure teams to meet security, compliance, and performance standards
Evaluate existing applications and workflows to identify inefficiencies and implement system or process improvements that support health plan operations
Manage and mentor technical staff, including hiring, performance management, and day-to-day team direction while partnering with business departments to support operational needs
