Director Data & Technical Services at AmeriHealth Caritas (Columbus, OH)

| Columbus, OH
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Responsibilities:

Under the direction of the Director, Plan Operations & Administration, the Director Data and Technical Services provides strategic direction and leadership for data and technical services including telecommunication systems, operating systems and all hardware and software located in-house and at remote locations. Oversees the study, creation and implementation of structures and algorithms to improve communication, understanding and management of health plan information. Interfaces with internal/external customers, including State Agencies, on all issues related to data. Identifies and defines data, technical needs and solutions, manages departmental resources and determines/prioritizes multiple project requirements and deliverables to ensure successful implementations. Directs the planning, implementation and operations of local Information Technology in a manner aligned with AMHP corporate IT initiatives and in support of company-wide goals and objectives. Through a matrix reporting relationship, provides guidance to the local analyst on the reporting needs of multiple departments. Directs local project management resources to ensure timely execution of projects and implementation of plan/organizational initiatives.
  • Ensure that multiple MCO data systems are able to connect and coordinate so that fields housed in one system (e.g., updated contact information) can readily inform other systems;
  • Ensure that information related to data systems, analytical methods, and analysis results is communicated in a way that allows optimal usage by all MCO programmatic areas;
  • Ensure that program areas are aware of, and understand how to use data resources (e.g., files received from ODM, Health Information Exchanges, Electronic Health Records, and data from MCO contractors) and integrate those resources with programmatic data when necessary;
  • Ensure that member and provider facing websites and portals are easily navigable by the general public, members, and providers by obtaining and incorporating feedback from these stakeholders;
  • Ensure that Information Technology projects are implemented timely and correctly, as specified by ODM;
  • Coordinate with other ODM-contracted managed care entities and ODM to create a seamless view of the Ohio Medicaid interface with the public, members, and providers, resulting in all members interacting with Ohio Medicaid having a uniform way to access information; and
  • Support program areas to integrate information contained within multiple data systems for use in improvement activities.

Education/Experience:
  • Bachelor's Degree BA/BS degree in Health Care, MIS, or related field.
  • Master's Degree MHA or MBA preferred.
  • Five to ten (5 -10) years management experience.
  • Ten (10) or more years progressive Health Care business experience and IT/Project Management.
  • Other Skills: Experience in the Managed Care Industry preferred.
More Information on AmeriHealth Caritas
AmeriHealth Caritas operates in the Healthtech industry. The company is located in Philadelphia, PA, Newark, DE, Harrisburg, PA, Washington, DC and Southfield, MI. AmeriHealth Caritas was founded in 1983. It has 4500 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 59 open jobs at AmeriHealth Caritas, click here.
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