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Director of IT - TRISTAR Managed Care

Job Details

Experienced
Involuntary Remote TMC - TMC, SC
Fully Remote
Full Time
High School Diploma or GED
$100,000.00 - $140,000.00 Salary
None
Day
Nurse

Director of IT - TRISTAR Managed Care

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Position Overview:

The Director of IT TRISTAR Managed Care (TMC) is accountable for the IT project objectives that drive transformation, customer experience, and other activities as assigned by the SVP of TMC and the TRISTAR CIO.

The Director of IT TMC will lead the planning, execution, and successful delivery of IT projects focused on integrating Third-Party Applications with TRISTAR Claim Systems and Finance Applications for TMC direct clients and TRISTAR TPA Clients. This role requires extensive experience in IT Development and Project Management.  A strong ability to work with application owners and interface teams. The Director of IT TMC will collaborate with various stakeholders, including Corporate IT, clinical staff, and external vendors, to ensure seamless integration and optimal performance of third-party applications.

They are responsible for defining areas including resource allocations, influencing sponsors, and managing work prioritization. They play an active role in making decisions involving human resources, and technical and financial resources necessary to implement change for high-impact environments.    

In addition, they will be a contributor to early engagement, project gap analysis, and operational change management. This will include innovation project lifecycle delivery, promoting successful relationship management, and customer adoption. They are expected to contribute to the continuous improvement of the project management lifecycle methodology. They are assigned to medium or large projects. Will be assigned to multiple projects some of which may be assigned from Corporate IT.

The role is a key contributor in the development of the organization’s transformation strategy and is responsible and accountable for delivering the best-practice approach designed to successfully plan and prepare for all aspects of project engagement, delivery, and adoption within the assigned portfolio.


Responsibilities
 

Essential Key Job Responsibilities

  • Key resource for the TMC organization encompassing the development of relationships between IT and the organization’s multiple customer constituencies, including patients, consumers, providers, clinical staff, administrators, and employees across TRISTAR. 
  • This position is vital to the organization's efficient operation in terms of well-managed systems that will ensure the financial success and ability to cope with the pressures of shrinking revenues, and our market strategy to grow and expand into the future. 
  • Responsible for establishing and maintaining channels of communication between business, IT, and other relevant stakeholders. 
  • Responsible for developing project plans that identify key issues, problems, approaches, performance metrics, communication plans, and resources required, and ensuring deliverables of the CCAD initiatives. 
  • Responsible for the supervision of the project resources within TMC
  • Responsible for managing all aspects of the project from planning, design, development/implementation, testing, training, and deployment.
  • Tracks assigned budget and resources for each project.  Prepares cost estimates and cost recommendations. Monitors expenditures.
  • Ensures compliance with all policies, and financial stewardship by being accountable for the financial integrity around the development and maintenance of project budget.  
  • Ability to develop online reporting tools, such as program dashboards, in order to track operational as well as financial results.

 

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.


 

 

Qualifications

Education/Experience

Qualifications
 

  • Bachelor’s degree in Information Technology, Healthcare Administration, or a related field 
  • Minimum of 8-10 years of experience in project management within the healthcare industry, with a focus on system integration.
  • Proven experience managing complex projects involving multiple stakeholders, including application owners and interface teams.
  • Strong understanding of healthcare IT standards, regulations, and best practices.
  • Exceptional leadership, organizational, and communication skills.
  • Ability to work effectively with cross-functional teams and manage multiple projects simultaneously.
  • Proficiency in project management software and tools.
  • Possess thorough understanding of Healthcare Business and Care Delivery processes strongly desired
  • Possess strong understanding of digital technology, clinical information systems, and how clinical information is integrated into the patient, consumer, and provider digital experience
  • Experience in Project Management methodologies and tool sets – waterfall/agile/scrum, planning, issue escalation, problem resolution, conflict and collision management, metrics and reporting, communications, etc. strongly desired.
  • Ability to manage business sponsor relationships, and navigate political landscape
  • Understanding of Finance and Accounting principles in relation to project budgets, purchasing and analysis of financial results  

Negotiation skills 

  • Exceptional verbal and written communication skills.  Communication for results

Decisiveness/Ability to make a quick assessment of the scope of an issue and provide options for its closure 

  • Ability to develop strategic business cases for departmental or project specific initiatives 
  • Must have working knowledge of Microsoft Excel, Visio, PowerPoint, Microsoft Project & Word  
  • In depth knowledge of Information Systems (software, hardware, network) 
  • In depth knowledge of the architectural system components, business processes and applications to minimize the impact of changes in software, hardware or network 
  • Contributes to the implementation of department's operational and strategic goals and objectives. Ensures departments collaboration on achievement of goals and objectives
  • Proactively prepare reports and/ or documentation providing business details to staff and management identifying business and patient trends, defining metrics, and recommending solutions
  • Demonstrates ability to manage effective business relationships at all levels of the organization, up to and including c-suite executives
  • Experience in process improvement; Lean Six Sigma principles and/or business process management preferred

Equipment Operated/Used:

  • Essential Equipment: Desk, Telephone/Fax, Computer Keyboard, Mouse
  • Essential Tools: Pens, pencil, computer, Keyboard
  • Essential Vehicles:  Valid driver’s license required

 

Special Equipment or Clothing:

Professional attire adhering to the Company Dress Code

Here are some of the benefits you can enjoy in this role:

  • Medical, Dental, Vision Insurance
  • Life & Disability Insurance
  • 401(k) plan
  • Paid holidays
  • Paid time off
  • Referral bonus

 

                             MENTAL AND PHYSICAL REQUIREMENTS

1.  MENTAL EFFORT

 

a.  Reasoning development:

 

          Follow one- or two-step instructions, routine, repetitive task.

 

          Carry out detailed but uninvolved written or verbal instructions, deal with a few concrete                    variables.

 

          Follow written, verbal, or diagrammatic instructions, several concrete variables.

 

 X      Solve practical problems; variety of variables with limited standardization; interpret instructions.

 

          Logical or scientific thinking to solve problems; several abstract and concrete variables.

 

          Wide range of intellectual and practical problems; comprehend most obscure concepts.

b.  Mathematical development:

 

          Simple additional and subtraction; copying figures, counting, and recording.

 

          Add, subtract, multiply, and divide into whole numbers.

 

 X      Arithmetic calculations involving fractions, decimals, and percentages.

 

          Arithmetic, algebraic, and geometric calculations.

 

          Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination.

 

          Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination; requires theoretical application.

c.       Language development:

 

          Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing.

 

          Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction.

 

          Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants.

 

 X      Ability to compose original correspondence, follow technical manuals, and have increased contact with people.

 

          Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data.

2.  PHYSICAL EFFORT

 

a.       Physical activity required to perform the job:

 

          Sedentary work:  Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

 

 X      Light work:

a.    Exerting up to 20 pounds of force occasionally

b.    Exerting up to 10 pounds frequently

c.    Exerting a negligible amount of force constantly to move objects

 

          (If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work).

 

          Medium work:

a.    Exerting up to 50 pounds of force occasionally

b.    Exerting up to 20 pounds of force frequently

c.    Exerting up to 10 pounds of force constantly to move objects

 

          Heavy work:

a.    Exerting up to 100 pounds of force occasionally

b.    Exerting up to 50 pounds of force frequently

c.    Exerting up to 20 pounds of force constantly to move objects

 

          Very heavy work:

a.    Exerting in excess of 100 pounds of force occasionally

b.    Exerting in excess of 50 pounds of force constantly to move objects

c.    Exerting in excess of 20 pounds of force constantly to move objects

 

    

  1. Visual requirements necessary to perform the job:

 

          Far vision:  clarity of vision at 20 feet or more

 

 X      Near vision:  clarity of vision at 20 inches or less

 

 X      Mid-range vision:  clarity of vision at distances of more than 20 inches and less than 20 feet

 

          Depth perception:  the ability to judge distance and space relationships, so as to see objects where and as they actually are

 

          Color vision:  ability to identify and distinguish colors

 

          Field of vision:  ability to observe an area up or down or to the right or left while eyes are fixed on a given point

 

2.  PHYSICAL EFFORT (cont.)

    FREQUENCY

c.        Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally):

 

       Climbing:      Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion.

 

       Balancing:     Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.

 

       Stooping:       Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.

 

       Kneeling:       Bending legs at knee to come to a rest on knee or knees.

 

       Crouching:    Bending the body downward and forward by bending legs and spine.

 

       Crawling:      Moving about on hands and knees or hands and feet.

 

       Reaching:      Extending hand(s) and arm(s) in any direction.

 

       Standing:       Particularly for sustained periods of time.

 

       Walking:       Moving about on foot to accomplish tasks, particularly for long distances.

 

       Pushing:        Using upper extremities top press against something with steady force in order to thrust forward, downward, or outward.

 

       Pulling:         Using upper extremities to extend force in order to drag, haul, or tug objects in a sustained motion.

 

       Foot

       Motion:          Using feet to push pedals.

 

       Lifting:          Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles.

 

 X    Fingering:     Picking, pinching, typing, or otherwise working with fingers rather than with the whole hand or arm as in handling.

 

 X    Grasping:      Applying pressure to an object with the fingers and palm.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Frequently

 

 

Occasionally

 

 

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