Director, Applications

Actively develop and lead a team in establishing a QA program to support client configuration and support ongoing auditing of system changes.

Establishes processes to audit configuration before deployment to production to streamline timeline and minimize defects. Effectively utilize automated solutions to create greater productivity.

Develop a key performance quality metrics reporting dashboard and make recommendations for process improvements.

Interacts with internal/external customers to outline information for solution development and monitoring.

Create and document best practices, standard operation procedures, process flows, functional and technical specifications, process maps for more standardized configuration across clients.

Collaborate with and support Operations as needed to ensure the efficient processing and optimal performance.

Develops detailed timeline, integrates project plans into other release schedules and works to resolve schedule and resource conflicts.

Bachelor's degree or equivalent experience. BA Certifications and or PMP a plus

Must have Healthcare Payor and/or TPA experience

Extensive background in understanding claims system configuration including, benefit plans, accumulator exchange and provider contracts. Prior experience with implementing claims QA programs

Prior background in implementing and managing automated testing tools

Proven results in building and managing a team. Provides direction and guidance to team member. Sets goals for team to achieve and holds team accountable for results.

Proven ability to map business process and workflows, ensuring requirements are tested and achieved.

Excellent verbal/written communication skills; comfortable initiating conversations with both business and technology leaders within the organization, as well as the ability to translate business issues and requirements into technical solutions.

Strong analytical and problem-solving skills; Ability to analyze problems and resolve issues through resolution quickly and methodically.

Flexibility to adapt to change and willing to learn and develop new skill sets as applicable.

Proficient with Word, Excel and PowerPoint, Visio

Knowledge of BA/MS project tools MS Project, Excel, Visio