Senior Director of Information Technology Core Systems ...

Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.Position OverviewThe Senior Director of IT Core Systems is responsible for evaluating operational processes and procedures for process improvement of MetroPlusHealth Core Applications. This position will work with our application vendors as well as Claims Operations, Utilization Management, Network Management, and other operational areas to optimize the use of core systems supported by IT.Work Shifts9:00 A.M - 5:00 P.M Duties & ResponsibilitiesOversee development and implementation of short/long term business objectivesDirect and support initiatives to focus on projects with plan wide benefit in accordance with corporate budgetary objectivesEnsure continuous delivery of IT services through oversight of service level agreements and monitoring of IT systems vendor performanceOversee functions performed by delegated vendor as it relates to benefit configuration, claims processing, provider setup and account payable systemManage activities and communications between key business stakeholders and Core System Vendor for implementation of new systems and optimization of current systemsDevelop and oversee SDLC methodology, including business requirements creation and sign off, Quality Assurance, User Acceptance Testing, Production and Postproduction activitiesAddress operational matters by working with business units to identify system solution to operational issuesParticipate and advise in new business/operational initiativesProvider guidance on current and future system capabilitiesCollaborate with operational areas and the system vendor to create system enhancement road mapIdentify areas of operational improvement, promote strategic relationships with business areas, vendor, governmental and partner organizationsWork with claims editing vendors, Claims Operations, Utilization Management, and Network Management to set up system edits to increase medical cost savings Facilitate improvement of the payment transaction process by interacting with providers and finance teamManage project implementation of upgrades and new products as it relates to Core SystemsManage production processes, regulatory reports submission and provider directory activitiesMinimum QualificationsBachelor's Degree from an accredited college or university in Information Systems, Computer Science, Healthcare IT or related fieldA minimum of 10 years' systems/operations management-related experience Healthcare IT experience required Project Management and Staff Supervision a plusProfessional Competencies Integrity and TrustCustomer FocusFunctional/Technical skillsWritten/Oral communication#LI-Hybrid#MPH50 BenefitsNYC Health and Hospitals offers a competitive benefits package that includes:Comprehensive Health Benefits for employees hired to work 20+ hrs. per weekRetirement Savings and Pension PlansPaid Holidays and Vacation in accordance with employees' Collectively bargained contractsLoan Forgiveness Programs for eligible employeesCollege tuition discounts and professional development opportunitiesCollege Savings Program Union Benefits for eligible titles Multiple employee discounts programsCommuter Benefits Programs

Created: 2025-11-01