Manager, Digital Solutions

Why Choose Jefferson Health Plans?

We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are committed to creating a community where everyone belongs, acknowledges, and celebrates diversity and has opportunities to grow to their fullest potential.

While this job currently provides a flexible remote option, due to in-office meetings, training as required, or other business needs, our employees are to be residents of PA or the nearby states of DE or NJ.

Perks of JHP and why you will love it here:

• Competitive Compensation Packages, including 401(k) Savings Plan with Company Match and Profit Sharing 
• Flextime and Work-at-Home Options
• Benefits & Wellness Program including generous Time Off 
• Impact on the communities we service 

We are seeking a talented and enthusiastic Manager of Digital Solutions to join our team!

The Manager of Digital Solutions provides technology leadership for member and provider facing digital platforms and capabilities including development and integration of member portal, mobile app, text messaging, and related capabilities. The manager collaborates with Enterprise Digital, Marketing, Provider Network and other business stakeholders who set the vision and roadmap for member and provider experience.   

Digital Solutions provides technology and vendor recommendations to deliver the desired member experience. Digital Solutions also provides production problem evaluation, prioritization, communication, and resolution related to digital capabilities. This includes root cause analysis, and the application of lessons-learned toward improvements. The team is responsible for UAT and testing for digital properties and ensures that quality levels are maintained.   

The Manager of Digital Solutions provides team leadership within a matrixed corporate environment and collaborates with stakeholders within JHP and Jefferson Enterprise. As a Health Plan Systems management team member, the Manager of Digital Solutions has input and influence over the digital roadmap for Jefferson Health Plans and contributes to successful execution of business strategy. The individual will have experience in understanding digital strategy and translating strategic direction into digital projects.  

As the Manager of Digital Solutions your daily duties may include: 

• Establish and maintain relationships with JHP and Jefferson Enterprise business leaders who are reliant upon HPS digital capabilities in support of their operational and strategic needs.

• Form an understanding of Jefferson Enterprise strategy regarding health plan growth and the formation of an integrated health system environment.  

• Define the capabilities needed to achieve strategic goals, and support the evaluation of digital capabilities, vendors, and managed services in support of HPS roadmap execution.

• Document and maintain standard operating procedures and processes in support of configuration, problem management, UAT, and claims testing.  

• Collaborate with IT leadership to define the production release schedule for major health plan systems.

• Support testing best practices, standardization, documentation, and automation.

• Coordinate with HPS business solutions team members including Business Systems Analysts to ensure that appropriate business and technical requirements and design documentation standards are followed.

• Act as a trusted advisor to build and maintain relationships with stakeholders to develop an understanding of business needs; supports the cost-effective delivery of IT services to meet those needs and is able to respond with agility to changing business priorities.

• Provides leadership, coaching and direction to staff.

• Maintain a positive work environment that supports self-direction; provide a structure to optimize experience, skill, knowledge and capability of the team.

• Handle other duties or projects as assigned.

• Supports problem management resolution and escalation as related to system issues; both internally and with application vendors.

• Provide hands-on team support with configuration, analysis and other tasks as needed. 

Qualifications 

• Bachelor’s Degree (or higher) in information services or a related field is highly preferred

• 5+ years’ systems experience in managed care and/or healthcare/health insurance environment, including 2+ years’ in a leadership position having broad oversight of systems or operational functions 

• 5+ years of experience in IT and business/industry.

• 2+ years of leadership responsibilities.

• Demonstrated experience in digital development and project delivery.

• Experienced with vendor management or managed services oversight and associated governance processes.

• Demonstrated capability in leading systems or project initiatives in complex and dynamic environments. 

 Skills, We Value:     

• Experience in health plan systems or operations leadership preferred.  

• Management skills with the ability to develop and communicate status, standards and other updates for key stakeholders.

• Ability to instill confidence in the business and demonstrate the business value of IT.

• Effective collaboration skills in an environment where resources may not be in direct control.

• Strong analytical, strategic conceptual thinking, and execution skills.

• Strong business acumen, including industry, domain-specific knowledge of the enterprise and its business units.

• Understanding of current and emerging technologies and how JHP can leverage these concepts to win in the marketplace

• Excellent verbal and written communication skills, including the ability to explain technical concepts and technologies to business leaders, and business concepts to the IT.