(Apply in 3 Minutes) Senior Director of IT Core Systems Operations
Company: MetroPlusHealth
Location: New York City
Posted on: July 2, 2025
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Job Description:
Job Description Job Description 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 Hospitals MetroPlusHealth 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 to enable New Yorkers to live their
healthiest life. Position Overview The 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. Job Description - Oversee development and
implementation of short/long term business objectives - Direct and
support initiatives to focus on projects with plan wide benefit in
accordance with corporate budgetary objectives - Ensure continuous
delivery of IT services through oversight of service level
agreements and monitoring of IT systems vendor performance -
Oversee functions performed by delegated vendor as it relates to
benefit configuration, claims processing, provider setup and
account payable system - Manage activities and communications
between key business stakeholders and Core System Vendor for
implementation of new systems and optimization of current systems -
Develop and oversee SDLC methodology, including business
requirements creation and sign off, Quality Assurance, User
Acceptance Testing, Production and Postproduction activities -
Address operational matters by working with business units to
identify system solution to operational issues - Participate and
advise in new business/operational initiatives - Provider guidance
on current and future system capabilities - Collaborate with
operational areas and the system vendor to create system
enhancement road map - Identify areas of operational improvement,
promote strategic relationships with business areas, vendor,
governmental and partner organizations - Work 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 team - Manage project
implementation of upgrades and new products as it relates to Core
Systems - Manage production processes, regulatory reports
submission and provider directory activities Minimum Qualifications
- Bachelor’s Degree from an accredited college or university in
Information Systems, Computer Science, Healthcare IT or related
field - A minimum of 10 years’ systems/operations
management-related experience - Healthcare IT experience required -
Project Management and Staff Supervision a plus Professional
Competencies - Integrity and Trust - Customer Focus -
Functional/Technical skills - Written/Oral Communication LI-Hybrid
MPH50
Keywords: MetroPlusHealth, East Brunswick , (Apply in 3 Minutes) Senior Director of IT Core Systems Operations, IT / Software / Systems , New York City, New Jersey
