Pinnacle Partners is assisting our client in their search for a Director of IT Operations. This resource will be a hands on director that will own the core software tool used for claims, eligibility and billing.
- Develop and maintain processes for supporting users of the system
- Manage and optimize support and operational cycle processing teams
- Maintaining awareness of and meet all operational related SLAs
- Provide Business Analytics to management relative to the system
- Manage and support any custom infrastructure related to the delivery of the system
- Evaluate all updates, enhancements and new products related to the system and make recommendations
- Develop and maintain a high level of industry knowledge relating to Claims Processing and the health insurance administration industry including relevant governmental regulations
- Map and manage all data flows in and out of the system
- 10+ years of experience with Claims Processing Systems
- Working knowledge of EDI and HIPAA transaction sets
- SQL experience
- System Administration experience
- Demonstrated organizational skills
- Strong written and verbal communication and problem solving skills
This is a Direct Hire opportunity with a salary up to $115k based on experience.