Health Management Systems, Inc. Integrated Solutions Operations Lead in Danvers, Massachusetts

HMS makes the healthcare system work better for everyone. We fight fraud, waste, and abuse so people have access to healthcare—now and in the future. Using innovative technology and powerful data analytics, we help government and commercial payers reduce costs, increase quality, and achieve regulatory compliance. We also help consumers take a more active role in their own health. Each year, we save our clients billions of dollars while helping people live healthier lives. At HMS, you will develop new skills and build your career in a dynamic industry while making a difference in the lives of others.

We are seeking a talented individual for an Integrated Solutions Operations Lead to serve as the critical link between the Eliza operations teams and business teams, including Product, HED and Analytics, to ensure seamless and high quality implementation and management of Eliza integrated solution products. The ISO Lead will coordinate updates, communications and trainings across internal business units related to the successful implementation and ongoing support of Eliza integrated solutions (aka 2.0 solutions).

The ISO Lead will lead and oversee multiple Integrated Solution client engagements through all aspects of the delivery lifecycle, including requirements gathering, program design, implementation and project planning.

The ISO Lead will also retain client-focused senior project management responsibilities, as assigned, in order to actively maintain and enhance knowledge and skills related to Integrated Solution implementations, client support and for identifying ongoing Integrated Solution process improvement efforts.

Essential Responsibilities:

  • Develop processes and reporting to forecast resource needs, support capacity management, and coordinate release schedules for initial release and product enhancement releases across clients.

  • Coordinate ongoing process improvement initiatives for integrated solution implementations and operations.

  • Train all impacted parties, across departments, on new best practice implementation processes; coordinate, communicate, and assist with implementations across clients and internal teams.

  • Ensure uniformity and scalability are applied as much as possible in data dictionaries, scripting logic and POD requirements of Integrated Solution client accounts or other complex or net-new-functionality projects.

  • Work with Health Engagement Design, Clinical Analytics, Sales Engineering and Business teams to:

  • Coordinate annual Integrated Solution release updates and enhancements.

  • Facilitate version control of all Integrated Solution solutions

  • Provide input and guidelines on select updates and data mart requirements to meet new annual HEDIS specifications.

  • Plan, lead and facilitate cross-functional meetings, milestones and deliverables with all levels of client and internal project stakeholders thereby establishing themselves as the technical and business project leader/SME for all program development, implementation, go-live and program performance tasks. Emphasis on problem solving and issue resolution.

  • Proactively monitor, evaluate and report on program performance and work with internal teams to identify areas for solution enhancement; participate in regular business reviews with key client stakeholders.

  • Assume full deliverable accountability from the solutions design and documentation through final delivery.

Non-Essential Responsibilities:

  • Performs other functions as assigned.

Knowledge, Skills and Abilities:

  • Proven ability and aptitude to learn new technologies and tools and work with technical teams of varying abilities.

  • Demonstrated ability to simultaneously manage multiple medium-to-large scale projects with a combined cross-functional team of 3-10 team members as well as client stakeholders

  • Excellent internal and client-facing communications skills are required

  • Expertise in program design and documentation of functional/technical specifications

  • A basic knowledge of Agile, Scrum and Waterfall delivery methodologies is useful

  • Working knowledge of HIPAA, compliance

  • Partners effectively cross-organizationally

Work Conditions and Physical Demands:

  • Primarily sedentary work in a general office environment

  • Ability to communicate and exchange information

  • Ability to comprehend and interpret documents and data

  • Requires occasional standing, walking, lifting, and moving objects (up to 10 lbs.)

  • Requires manual dexterity to use computer, telephone and peripherals

  • May be required to work extended hours for special business needs

  • May be required to travel at least 10%-20% of time based on business needs

Minimum Education:

The knowledge typically acquired during the course of attaining a Bachelor’s degree is required. A combination of education and experience may be used in lieu of a degree.

A working knowledge of Agile, Scrum and Waterfall delivery processes is useful

Hands on experience with Jira, Confluence and Salesforce is useful

Certifications:

  • PMP Certification is desired, not required

Minimum Related Work Experience:

  • Seven years of client facing project management experience of which five years’ experience in technology and/or healthcare is preferred

  • Experience in product operations management, solution design, maintenance and documentation

  • Extensive experience monitoring and troubleshooting complex technical solutions while managing client’s change requests and inquiries

  • Experience with web services, data, IVR, SMS or email technology is preferred; knowledge of claims and eligibility data a plus

  • Salesforce.com experience is preferred

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Title: Integrated Solutions Operations Lead

Location: Massachusetts-Danvers

Requisition ID: 180010UE

EEO/Minorities/Females/Protected Veterans/Disabled.