Care
Management IT Tech Lead is a critical senior level position reporting to IT
Applications Engineering Manager. The Tech Lead for Care Management will be
responsible for developing, maintaining, and managing complex technology
solutions including SaaS vendor solution offerings for authorization, case
management, appeals and grievances etc.

Responsibilities
include interfacing with IT and Business partners to understand and influence
requirements to design and build highly scalable and sustainable solutions and
provide ongoing support of such solutions.

Responsibilities:

- Lead analysis,
requirements, design, and development activities on concurrent complex projects
with multi-source, on and offshore teams.
- Provide technical
leadership in designing and implementing large scale, complex enterprise applications
in Care Management platforms requiring high performance and availability.
- Works effectively
with SaaS product vendors and IT service functions to ensure superior service
(meeting or exceeding SLAs) delivery for all platform integrations and support
services.
- Accountable for
ensuring the business and technical architecture of the delivered solution
matches with functional requirements.
- Derive and enforce
best practices in architecture, design, and coding and ensure guardrail
standards are followed.
- Be able to
synthesize complex data/information and lead complex technical implementations
on plan.
- Able to
effectively communicate status, design, and approach with management/business
sponsors/product managers.
- Ability to build
strong relationships and drive alignment on difficult topics.
- Self-directed,
works with limited management direction and exercise considerable latitude in
determining technical objectives of assignment.
- Continuously looks
to improve processes, technology, and people to deliver high quality solutions
in a sustainable and efficient manner.

Qualification:

- 7+ years hands-on design, config, coding, integration, and deployment experience in Healthcare Payer applications including Care Management platforms.
- Extensive experience in managing care management solutions.
- Experience or knowledge in Authorization and Case Management platforms such as MedHOK AuthAccel, IMA Case Trakker.
- Expertise in .net, Oracle PL/SQL, API services, SaaS.
- Exposure to ETL such as Informatica and Oracle Datamart.
- Experience with SaaS solutions and experience managing Security roles.
- Strong ability to analyze business requirements and transform into technical design and system solutions leveraging design patterns.
- Familiar with standard software development tools, including incident tracking, documentation, and testing systems.
- Demonstrated ability managing projects with tight timelines in a complex organization.
- Demonstrated experience working with vendor partners.

Education:

- BS or MS in Management Information Systems, Computer Science, Electronic Engineering, or equivalent number of years of direct hands on experience.
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Additional Information

- Our Company: At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We're excited to share Blue Shield of California has received awards and recognition for - LGBT diversity, quality improvement, most influential women in corporate America, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we're striving to make a positive change across our industry and the communities we live in - Join us!

- Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

- Equal Employment Opportunity: External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

- Requisition ID: 20001WC

- Posting Date: Jul 28, 2020

- Schedule: Full-time

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