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Director Clinical IT Delivery(Payer)

Director Clinical IT Delivery(Payer)

ConfidentialHyderabad / Secunderabad, Telangana, Chennai
7 days ago
Job description

Job Title : Associate Director / Director of IT

Department : Information Technology

Reports To : VP of IT

Summary :

This is a key leadership role responsible for the successful delivery of application development projects and programs within the Clinical domain. This role requires a strong visionary leader, proven leadership skills, and extensive experience in the US Healthcare Payer industry, particularly within the Clinical domain. This role will lead a team of Developers, Product Owners, and partner with other functions such as Enterprise IT Architecture and Quality Assurance , ensuring alignment with organizational goals and effective resource utilization.

Operating in a matrixed environment, this person will be a skilled relationship builder, collaborating with US counterparts and other internal teams to achieve shared objectives.

Key Responsibilities :

  • Leadership and Team Management :
  • Provide strategic direction and leadership to the Team, fostering a culture of collaboration, innovation, and continuous improvement.
  • Directly manage a team, of Developers, Product Owners, and Business Analysts.
  • Conduct performance reviews, provide coaching and mentoring, and support the professional development of team members.
  • Assess and identify capability gaps within the team, developing and implementing strategies to address them.
  • Contribute to internal knowledge building by creating internal collateral and reusable assets
  • Delivery and Project Management :
  • Take accountability for the successful delivery of application development projects and programs within the Clinical domain, ensuring adherence to timelines, budgets, and quality standards.
  • Drive the execution of projects, proactively addressing risks and issues, and escalating as needed.
  • Ensure the delivery of high-quality software solutions that meet business requirements.
  • Resource Management and Planning :
  • Develop and maintain resource plans and projections, aligning resources to the right efforts.
  • Experience in demand and capacity planning and forecasting to accurately predict resource needs.
  • Coordinate with Product Owners to understand project priorities and develop resource allocation strategies.
  • Stakeholder Management and Communication :
  • Work closely with US counterparts and other internal teams to ensure alignment and effective collaboration.
  • Interface with various stakeholders across the organization, building strong relationships and fostering open communication.
  • Identify and communicate risks and issues to senior leadership and team members.
  • Present project status updates and other relevant information to senior leadership.
  • Technical Expertise and Strategy :
  • Experience in PEGA and the healthcare framework and integrations with external vendors.
  • Contribute to the development of IT strategies and roadmaps for the Provider domain
  • Awareness of current and emerging industry trends, tools, frameworks, and technologies.
  • Proficient with utilizing methodology concepts to support the full System Development Life Cycle (SDLC)
  • Implement Pega Blueprints that leverage GenAI to accelerate the transformation of application ideas into interactive solutions
  • Develop automation tools and frameworks that streamline the modernization process and ensure quality implementation
  • Contribute to the evolution of Pega's modernization methodologies and tools, shaping the future of application modernization

Required Qualifications :

  • Minimum of 15 years of experience in the US Healthcare Payer industry.
  • Knowledge and familiarity with Agile development methodologies.
  • Experience within the Clinical domain (Utilization Management , Care Management and / or other relevant areas).
  • Proven experience in leading and managing application development teams.
  • Strong delivery experience with a track record of successfully delivering projects and programs.
  • Experience with demand and capacity planning and forecasting.
  • Experience working with external vendors.
  • Excellent communication, interpersonal, and relationship-building skills.
  • Strong problem-solving and analytical skills.
  • Ability to influence and negotiate with stakeholders in a matrixed organization.
  • Knowledge of HL7, CCD, FHIR, X12 and other existing healthcare data interchange standards. Exposure to emerging standards
  • Knowledge with payers, providers, HIEs, IDNs, and other healthcare industries
  • Preferred Qualifications

  • Minimum of 5 years of PEGA application development experience
  • Pega Certified Senior Systems Architect
  • Experience in Pega Healthcare Framework, or Customer Decision Hub experience.
  • Leadership Skills :

  • Vision : Ability to shape the overall direction of an organization.
  • Curiosity : Not being content with the status quo, a desire to continuously improve.
  • Communication : Ability to clearly and effectively communicate risks, issues, and project status to various audiences.
  • Accountability : Taking responsibility for actions and outcomes.
  • Integrity : Being honest and ethical in all interactions.
  • Creativity : Thinking outside the box and generating innovative solutions.
  • Flexibility : Adapting to changing situations and priorities.
  • Relationship-building : Building strong connections and fostering collaboration.
  • Problem-solving : Identifying and resolving complex issues.
  • Skills Required

    Clinical, utilization management, appeals, grievances

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