Healthcare IT Process Improvement Lead
3 weeks ago
Innova Solutions is a global leader in strategic technology and business transformation solutions. We deliver innovative solutions to our clients, enabling them to operate as leaders in their fields.
Job Summary:
We are seeking an experienced Healthcare IT Process Improvement Lead to join our team in Manhattan, NY. As a key member of our healthcare technology division, you will be responsible for evaluating operation processes and procedures to improve the efficiency of healthcare insurance core applications. This includes collaborating with provider contracting, credentialing, claims operations, utilization management, and network management teams to ensure accuracy of payments processing.
Key Responsibilities:
The Healthcare IT Process Improvement Lead will oversee the development and implementation of short-term and long-term business objectives, direct and support initiatives to focus on projects with plan-wide benefits, and manage activities and communications between key business stakeholders and core system vendors. You will also collaborate with providers to establish pricing methodologies, manage project implementation of upgrades and new products, and address operational matters by working with business units to identify system solutions.
Requirements:
To be successful in this role, you will need a Bachelor's degree from an accredited college or university and a minimum of 10 years of experience in healthcare systems, process improvement, project management, or system configuration. Project management and staff supervision are also highly desirable. Familiarity with HealthEdge System for claim processing is a plus. The ideal candidate will have extensive knowledge of contracts, claims processing, and nuances around Medicare advantage, CMS, etc.
Salary and Benefits:
We offer a competitive salary range of $150,000 - $220,000 per year, depending on experience. Our comprehensive benefits package includes medical, dental, and vision insurance, 401(k) matching, and generous paid time off. Innova Solutions is committed to providing a dynamic and inclusive work environment where employees can grow and thrive.
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