Technical Applications Manager II

Salary Range:  $121, Min.) - $160, Mid.) - $199, Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

 

Job Summary

The Technical Application Manager II reports to the Senior Manager Information Technology I.T. Solutions Delivery. This role acts as the Technical Leader enterprise-wide for the assigned Domain, overseeing design, delivery, integration and support. This person should have a strong understanding of related Business Processes, corresponding I.T. Systems, Data Interfaces and Regulatory Requirements. 

This person needs to quickly gain working knowledge of L.A. Care Domain Business Practices and Information Technology Solutions, including the identification of gaps between current business need and system functions. Additionally, this person needs to develop a Solutions Delivery plan for meeting current and anticipated Domain needs; this plan includes Application Roadmaps, Staffing Model (FTE and Consultant), SOA Service Definition, Data Management/Interfaces. This position works closely with the Business Domain leads, Business Relationship Managers, Security, Infrastructure, Quality Assurance, Production Support, Business and Technical Architecture teams.

The candidate should be well-organized, flexible and capable of driving accountability within the Solution Delivery Domain for all system functionality and performance. This person needs to manage ambiguity, negotiates optimal approaches, prioritizes and remediates in a complex and dynamic environment. This person needs to demonstrate an ability to manage Commercial Software Vendor relationships and Consulting teams in support of Domain Solution needs. This person also oversees any escalated Production Support issues for Domain Solutions.

The ideal candidate has demonstrable experience in overseeing and delivering I.T. Solutions, preferably in the Provider Network Management space.

• Understand how each System (Commercial or Custom) capability meets the Processing and Information requirements to implement business functions effectively

• Be aware of all major Initiatives (Programs, Projects, Service Requests) that require enhancements or customizations to Domain Systems

• Drive all interface requirements (Service Bus, EDI, File Processing, Portal etc.) from each Domain System

• Provide Level 3 Production Support for each Domain System

• Drive all Consulting/Contractor enhancements and customizations to Domain Systems

• Manage System Roadmaps (Upgrades, Customizations, Configurations, Replacements, Retirements)

• Participate in Impact Assessments to determine Domain System impact to new Enterprise Initiatives.

Duties

Document current and future state Domain System Process Flow, Data Flow and Interfaces.

Provide technical direction to Business Systems Analysts, Technical Leads, Development Staff comprised of Full Time Employees and Consultants. Act as liaison between IT Solution Delivery team and Program/Project Managers for all Enterprise Initiatives.

Manage and prioritize backlog of Solutions Delivery Domain service requests and maintenance work.

Develop and manage Domain Application Roadmaps including System Configurations, Functions, Service Bus Integrations, Data/File Integrations, Monitoring and Security milestones.

Manage Solutions Delivery Domain Software and Consulting vendors.

Provide 'escalated' Production Support and Incident Management.

Perform Impact Assessments and Solution Reviews for Solutions Delivery Domain.

Assist in Enterprise Roadmap Planning Activities, Business and Enterprise Architecture.

Perform other duties as assigned. 

Duties Continued Education Required Bachelor's Degree in Computer Science In lieu of degree, equivalent education and/or experience may be considered. Education Preferred Experience

Required:

Minimum of 6 years of I.T. Applications work experience with 4 years of progressive technical oversight.

At least 5 years developing Software Solutions leveraging a Software Development Lifecycle Methodology.

At least 4 years of specified Domain experience, see attached addendum.

At least 4 years of I.T. Vendor (Software and Consultant) Management.

Preferred:

At least 3 years of Production Support experience.

At least 3 years of Health Plan I.T. experience.

At least 3 years of Service Bus development experience.

Skills

Required:

Technical leadership, Application Roadmaps, Vendor Management (Software Product and Labor).

Well-organized, flexible and self-starter.

High level of written and verbal communication skills.

Strong decision making ability and attention to detail.

Ability to influence key internal and external business/IT partners.

Active listening skills.

Ability to understand complex technical issues.

Ability to navigate ambiguity and proactively develop effective plans.

Ability to create Application Architecture diagrams and Roadmaps.

Agile Development.

Preferred:

Program/project management skills.

Microsoft Project Server, Excel, PowerPoint, Word.

Licenses/Certifications Required Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information

Department Specifics:

Finance:

Minimum of 4 years of Financial Services Domain experience required.

Critical Thinking Skills (Analyzing, Logical Reasoning, Predicting, Transforming Knowledge and Applying Standards) required.

Functional knowledge of Financial (Accounting Principles and Theory) preferred.

Health Services

Minimum of 4 years of Health Services Domain experience required.

3 years of Clinical Care and 3 years of HIE, HEDIS experience preferred.

Functional knowledge of HEDIS, HIE, Health Analytics required.

Functional knowledge of Utilization Management, Care Management, Clinical Case Management, Disease Management preferred.

Provider Domain TPM

Minimum of 4 years of Provider Data Management Domain experience required.

3 years of Provider Network experience preferred.

3 years of Provider Data experience preferred.

3 years of Service Bus development experience, Micro services (Mulesoft), NoSQL (MarkLogic), Informatica Data Quality, Informatica MDM, Tableau, Informatica (AXON), Oracle database preferred.

Functional knowledge of Provider Data Management, Provider Network Management preferred.

Customer Relationship Management/Salesforce Surround Systems:

Minimum of 4 years of CRM Domain and integration experience required.

3 years of Service Bus development experience preferred.

Functional knowledge of CRM (Salesforce) preferred.

Clinical Services

Minimum of 4 years of Health Services Domain experience required

Minimum of 4 years of Clinical System experience (e.g. Clinical Care Advance, ZeOmega, Altruista, Thrasys) required.

Functional knowledge of Utilization Management, Care Management, Clinical Case Management, Disease Management required.

Functional knowledge of HEDIS, Health Information Exchange preferred.

Membership

Minimum of 4 years of Health Plan Membership Domain experience required.

Functional knowledge of Membership Eligibility and Enrollment, Member Maintenance, PCP assignment, Appeals and Grievances preferred.

EDI

5 years of EDI Domain experience required.

5 years of HIPAA X12 standards experience preferred

Functional knowledge of all aspects within the HIPAA Administration Simplification Rule, including the transaction operating rules preferred.

Functional  knowledge of basic industry protocal mapping tools, such as Edifecs, IBM WEBSPHERE , etc. preferred.

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.  The range is subject to change.

L.A. Care offers a wide range of benefits including

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retirement Plans
• Medical, Dental and Vision
• Wellness Program
• Volunteer Time Off (VTO)

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