Director IT, Clinical Applications

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Role Overview

The Director IT, Clinical Applications will be a pivotal leader within the organization, responsible for overseeing clinical applications including those for care management (CM, utilization management (UM), and long term services and support (LTSS). This role requires a strong blend of technical expertise, strategic thinking, relationship management, and leadership capabilities to enable technology solutions that effectively supports our business and clinical objectives in a manner that complies with regulatory requirements.

Work Arrangement

• This is a 100% Remote position but you must live in EST or CST time zones

Responsibilities

• Strategic Planning: Develop and execute IT strategies that align with the organization's overall business goals, focusing on efficiency, security, and innovation within the healthcare sector. Work within the organization and with business and clinical partners to establish investment business cases

• Team Leadership & Development: Lead, mentor, and develop a high-performing IT team, fostering a culture of engagement, collaboration, continuous improvement, and professional growth

• IT Operations Management: Oversee the daily operations of all IT systems, networks, and applications, ensuring optimal performance, reliability, availability, and efficiencies

• Project Management: Direct and manage complex IT projects from conception to completion, including cost and scheduled estimates, system implementations, upgrades, and migrations, ensuring projects are delivered on time, within budget, and in compliance with business case and quality expectations. Identify risks and drive successful mitigation approaches

• Security & Compliance: Establish and enforce robust cybersecurity protocols and data privacy measures, ensuring compliance with all relevant healthcare regulations (e.g., HIPAA, HITECH, state-specific mandates)

• Vendor Management: Manage relationships with third-party IT vendors and service providers, negotiating contracts, ensuring service level agreements (SLAs) are met, and optimizing vendor performance

• Budget Management: Develop and manage the IT department's budget, ensuring cost-effectiveness and appropriate allocation of resources

• Innovation & Technology Adoption: Evaluate and recommend new technologies and solutions that can enhance our health plan's capabilities, improve member experience, and drive operational efficiencies

• Disaster Recovery & Business Continuity: Develop and maintain comprehensive disaster recovery and business continuity plans for all critical IT systems

• Business Partner and Stakeholder Collaboration: Collaborate effectively with other departments, executive leadership, and external partners to understand their IT needs and deliver effective solutions

Education and Experience

• Bachelor’s Degree or equivalent work experience

• At least ten (10) or more years of IT experience with at least five (5)+ years of leadership experience

• Previous experience working for a healthcare payer organization preferred

• Previous experience implementing enterprise-wide clinical systems

• Strong understanding of managed care clinical workflows and terminology such as LTSS, Care Management (CM), or Utilization Management (UM)

• Strong communication, organizational, and leadership skills

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com .

As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.