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Director, Applications Support

3 months ago

Chapel Hill, United States Brighton Health Plan Solutions Full time
About The Role
The Director of Applications Support has responsibility for strategic development and execution of a quality program for system configuration and changes. The role is responsible for establishing a quality dashboard and implement the changes needed to improve quality metrics.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities and activities may change, or new ones may be assigned at any time with or without notice.

Primary Responsibilities
  • Actively develop and lead a team in establishing a QA program to support client configuration and support ongoing auditing of system changes.
  • Build a high-performance environment and implement a people strategy that attracts, retains, develops, and motivates their team by fostering an inclusive work environment, using a coaching mindset and behaviors, communicating vision/values/business strategy, and managing succession and development planning for the team.
  • Establishes processes to audit configuration before deployment to production to streamline timeline and minimize defects. Effectively utilize automated solutions to create greater productivity.
  • Develop a key performance quality metrics reporting dashboard and make recommendations for process improvements.
  • Interacts with internal/external customers to outline information for solution development and monitoring.
  • Ability to engage cross-functional teams in a matrix environment and develop a shared sense of urgency to ensure project success.
  • Creates and documents best practices, standard operation procedures, process flows, functional and technical specifications, process maps for more standardized configuration across clients.
  • Collaborate with and support Operations as needed to ensure the efficient processing and optimal performance.
  • Develops detailed timeline, integrates project plans into other release schedules and works to resolve schedule and resource conflicts.
  • Performs gap analysis, Supports client implementation and products deployment.
  • Manages communications (to stakeholders, leadership, etc.) with project teams and management; could be project plans, status reports and other project related updates/communications.
Essential Qualifications
  • Bachelor's degree or equivalent experience. BA Certifications and or PMP a plus
  • Extensive background in understanding claims system configuration including, benefit plans, accumulator exchange and provider contracts. Prior experience with implementing claims QA programs
  • Prior background in implementing and managing automated testing tools
  • Proven results in building and managing a team. Provides direction and guidance to team member. Sets goals for team to achieve and holds team accountable for results.
  • Expertise and experience in preparing, Use Cases, Business & Functional specifications, Test strategy & cases and traceability matrix.
  • Proven ability to map business process and workflows, ensuring requirements are tested and achieved.
  • Excellent verbal/written communication skills; comfortable initiating conversations with both business and technology leaders within the organization, as well as the ability to translate business issues and requirements into technical solutions.
  • Strong analytical and problem-solving skills; Ability to analyze problems and resolve issues through resolution quickly and methodically.
  • Ability to manage issues, risks and decisions with excellent reasoning judgment
  • Excellent verbal and written communication skills.
  • Self-motivated and detail-oriented
  • Flexibility to adapt to change and willing to learn and develop new skill sets as applicable.
  • Proficient with Word, Excel and PowerPoint, Visio
  • Knowledge of BA/ MS project tools MS Project, Excel, Visio

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all of your unique abilities.

Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions.

Come be a part of the Brightest Ideas in Healthcare™.

Company Mission

Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners.

Company Vision

Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

DEI Purpose Statement

At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

*We are an Equal Opportunity Employer

JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected]