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Director, Information Technology (Claims, Membership, Benefits, Provider and Contact Center) (Director IV) CalOptima CalOptima Health is seeking a highly motivated Director, Information Technology (Claims, Membership, Benefits, Provider and Contact Center) (Director IV) to join our team. The Director will be accountable for the Information Technology (IT) strategy and execution for Claims, Membership, Benefits, Provider and Contact Center applications. This position will work closely with business leadership and the department staff to find solutions and deliver the technology required to support existing and new applications and technology. The incumbent will be responsible for the effective and efficient management and delivery of all third-party and internal IT resources to implement new systems and enhancements and ensure ongoing support. As a member of the department's leadership team, the incumbent will contribute to the development and execution of the organizational technology strategy, ensure its alignment with the organization's business strategy and ensure the delivery of capabilities required to achieve business success. The incumbent will have extensive health plan technology experience, strong project management acumen, excellent vendor management skills, financial management expertise, and a superior, service-oriented approach to IT. Position Information: 
<ul>
<li>Department: IT - Applications Management </li>
<li>Salary Grade: 323 - $204,199 - $326,717 ($98.17 - $157.0756) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Leadership Functions
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Leads the development of IT strategy and technical roadmap and ensures its integration with overall IT and CalOptima Health strategies.</li>
<li>Works with the department's leadership team on the project portfolio and governance required to prioritize resources, including budget.</li>
<li>Acts as a trusted advisor and builds and maintains relationships with other internal and external IT and business leaders to develop a clear understanding of business needs. Ensures cost-effective delivery of IT services to meet those needs and can respond with the agility required to address changing business priorities.</li>
<li>Develops and adheres to the annual operating and capital budgets and expenditures for infrastructure to ensure consistency with the departmental and organizational strategic objectives and remain within budget. Manages labor forecasting in support of project cost accounting.</li>
<li>Champions innovative efforts in experimenting with new solutions to take advantage of business opportunities.</li>
<li>Stays abreast of leading-edge and innovative solutions to the recruitment, development and retention of the IT workforce. </li>
<li>Drives the adoption and commitment to continual service improvement.</li>
</ul>
</li>
</ul>
<ul>
<li>45% - Program Oversight
<ul>
<li>Provides strategic direction and oversight for the design, development, operation and support of systems that fulfill the needs of the business, including a deep understanding of the marketplace and technology's role in supporting the assigned systems.</li>
<li>Defines, develops, and manages a comprehensive and integrated architecture for assigned systems based on best-practice processes, disciplines and toolsets.</li>
<li>Operates within the established governance process to ensure that services can continue to be delivered in line with the agreed-upon business outcomes and timelines.</li>
<li>Delivers effective service management through the definition and adoption of a governance practice that uses key performance indicators (KPIs) and metrics to track and measure the quality of service. Continually monitors metrics and the integration of them with key accountabilities to ensure consistency of approach and continual service improvement. </li>
<li>Participates in the assessment of external and internal technology capabilities required to achieve desired competitive positioning.</li>
<li>Maintains knowledge of new technologies and platforms and provides direction on what emerging technologies should be assimilated, integrated, and introduced, ensuring that technology capabilities respond to and support the needs of the business.</li>
<li>Negotiates with vendor and supplier partners to enable cost-effective and innovative contracts and solutions to achieve business goals and ensure receipt of full support in line with service agreements.</li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in computer science, information systems or other related field PLUS 7 years of experience within information technology leadership required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>7 years of experience in an IT senior leader roles at large health plans required. </li>
<li>7 years of experience influencing business management and key stakeholders effectively across the organization required. </li>
<li>Experience with technology and business processes required to support Claims, Membership, Benefits, Provider, and Contact Center required. </li>
<li>Experience in leading IT transformational initiatives in dynamic environments required. </li>
<li>Experience managing staff of 30+ required. </li>
<li>Experience managing large-scale consulting/contracting engagements required. </li>
<li>Experience managing operational and project budgets (including project cost accounting) required. </li>
<li>Extensive experience with the technology implications of a delegated provider model required. </li>
<li>Extensive experience leading the implementation of best-in-class processes supported by technology for claims, membership, benefits, provider, and contact center functions. </li>
<li>Demonstrated ability to manage health plan technology operations delivering consistently to best-in-class SLAs required. </li>
<li>Comprehensive knowledge of the health plan core system and contact center vendor marketplace specifically for health plans and the ability to compare and contrast vendors and benefits delivered. </li>
<li>Experience crafting business cases including meticulous cost estimates and quantifiable benefits. </li>
<li>Extensive experience working closely with sophisticated business partners to craft a roadmap and deliver on commitments. </li>
<li>Experience delivering innovative contact center solutions that improve member experience and staff productivity. </li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience leading a team responsible for Facets (claims, membership, benefits, provider) and Salesforce (CRM).</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6414364&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is August 7, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6414364" target="_blank">https://jobs.caloptima.org/jobs/director-information-technology-claims-membership-benefits-provider-and-contact-center-director-iv-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-c15e5a9e2bef3746a6a34120b53ba4c7

Director, Information Technology (Claims, Membership, Benefits, Provider and Contact Center) (Director IV)

Director, Information Technology (Encounters, EDI, HEDIS/Star) (Director IV) CalOptima CalOptima Health is seeking a highly motivated Director, Information Technology (Encounters, EDI, HEDIS/Star) (Director IV) to join our team. The Director will be accountable for the Information Technology (IT) strategy and execution for Encounters, Electronic Data Interchange (EDI), and Healthcare Effectiveness Data and Information Set (HEDIS)/Star Ratings for CalOptima Health. This position will work closely with business leadership and the department staff to find solutions and deliver the technology required to support existing and new applications and technology. The incumbent will be responsible for the effective and efficient management and delivery of all third-party and internal IT resources to implement new systems and enhancements and ensure ongoing support. As a member of the department's leadership team, the incumbent will contribute to the development and execution of the organizational technology strategy, ensure its alignment with the organization's business strategy and ensure the delivery of capabilities required to achieve business success. The incumbent will have extensive health plan technology experience, strong project management acumen, excellent vendor management skills, financial management expertise, and a superior, service-oriented approach to IT. Position Information: 
<ul>
<li>Department: Enterprise Data and Systems Integrations </li>
<li>Salary Grade: 323 - $204,199 - $326,717 ($98.17 - $157.0756) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Leadership Functions
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Leads the development of IT strategy and technical roadmap and ensures its integration with overall IT and CalOptima Health strategies.</li>
<li>Works with the department's leadership team on the project portfolio and governance required to prioritize resources, including budget.</li>
<li>Acts as a trusted advisor and builds and maintains relationships with other internal and external IT and business leaders to develop a clear understanding of business needs. Ensures cost-effective delivery of IT services to meet those needs and can respond with the agility required to address changing business priorities.</li>
<li>Develops and adheres to the annual operating and capital budgets and expenditures for infrastructure to ensure consistency with the departmental and organizational strategic objectives and remain within budget. Manages labor forecasting in support of project cost accounting.</li>
<li>Champions innovative efforts in experimenting with new solutions to take advantage of business opportunities.</li>
<li>Stays abreast of leading-edge and innovative solutions to the recruitment, development and retention of the IT workforce.</li>
<li>Drives the adoption and commitment to continual service improvement.</li>
</ul>
</li>
</ul>
<ul>
<li>45% - Program Oversight
<ul>
<li>Provides strategic direction and oversight for the design, development, operation and support of systems that fulfill the needs of the business, including a deep understanding of the marketplace and technology's role in supporting the assigned systems.</li>
<li>Defines, develops, and manages a comprehensive and integrated architecture for assigned systems based on best-practice processes, disciplines and toolsets.</li>
<li>Operates within the established governance process to ensure that services can continue to be delivered in line with the agreed-upon business outcomes and timelines.</li>
<li>Delivers effective service management through the definition and adoption of a governance practice that uses key performance indicators (KPIs) and metrics to track and measure the quality of service. Continually monitors metrics and the integration of them with key accountabilities to ensure consistency of approach and continual service improvement.</li>
<li>Participates in the assessment of external and internal technology capabilities required to achieve desired competitive positioning.</li>
<li>Maintains knowledge of new technologies and platforms and provides direction on what emerging technologies should be assimilated, integrated, and introduced, ensuring that technology capabilities respond to and support the needs of the business.</li>
<li>Negotiates with vendor and supplier partners to enable cost-effective and innovative contracts and solutions to achieve business goals and ensure receipt of full support in line with service agreements. </li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in computer science, information systems or other related field PLUS 7 years of experience within information technology leadership required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
<li>7 years of experience in an IT senior leader role at large health plans required.</li>
<li>7 years of experience influencing business management and key stakeholders effectively across the organization required.</li>
<li>Experience with technology and business processes required to support Encounter, EDI, and HEDIS/Star Ratings required.</li>
<li>Experience in leading IT transformational initiatives in dynamic environments required.</li>
<li>Experience managing staff of 30+ required.</li>
<li>Experience managing large-scale consulting/contracting engagements required.</li>
<li>Experience managing operational and project budgets (including project cost accounting) required.</li>
<li>Extensive experience with the technology implications of a delegated provider model required.</li>
<li>Extensive experience leading the implementation of best-in-class processes supported by technology for encounter processing, EDI, and HEDIS/Star.</li>
<li>Demonstrated ability to manage health plan technology operations delivering consistently to best-in-class SLAs required.</li>
<li>Comprehensive knowledge of the health plan marketplace specifically for encounter processing, EDI, and HEDIS/Star, and the ability to compare and contrast vendors and benefits delivered.</li>
<li>Experience crafting business cases including meticulous cost estimates and quantifiable benefits.</li>
<li>Extensive experience working closely with sophisticated business partners to craft a roadmap and deliver on commitments.</li>
<li>Experience supporting encounter reconciliation teams and success delivering technology that supports this reconciliation.</li>
<li>Experience driving HEDIS/Star improvements via data and technology.</li>
<li>Experience managing EDI for a health plan. </li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience leading a team responsible for Facets (Encounters), Edifecs (EDI) and Citius (HEDIS/Star Ratings).</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6414375&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is August 7, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6414375" target="_blank">https://jobs.caloptima.org/jobs/director-information-technology-encounters-edi-hedis-star-director-iv-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-d9ab4481b42afc4dbb81653004659042

Director, Information Technology (Encounters, EDI, HEDIS/Star) (Director IV)

Director, Information Technology (Data Analytics and Artificial Intelligence Technology) (Director IV) CalOptima CalOptima Health is seeking a highly motivated Director, Information Technology (Data Analytics and Artificial Intelligence Technology) (Director IV) to join our team. The Director will be accountable for the Information Technology (IT) strategy and execution for data warehouse, analytics, and artificial intelligence (AI) for CalOptima Health. This position will work closely with business leadership and the department staff to find solutions and deliver the technology required to support existing and new applications and technology. The incumbent will be responsible for the effective and efficient management and delivery of all third-party and internal IT resources to implement new systems and enhancements and ensure ongoing support. As a member of the department's leadership team, the incumbent will contribute to the development and execution of the organizational technology strategy, ensure its alignment with the organization's business strategy and ensure the delivery of capabilities required to achieve business success. The incumbent will have extensive health plan technology experience, strong project management acumen, excellent vendor management skills, financial management expertise, and a superior, service-oriented approach to IT. Position Information: 
<ul>
<li>Department: Enterprise Data and Systems Integrations </li>
<li>Salary Grade: 323 - $204,199 - $326,717 ($98.17 - $157.0756) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Leadership Functions
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Leads the development of IT strategy and technical roadmap and ensures its integration with overall IT and CalOptima Health strategies.</li>
<li>Works with the department's leadership team on the project portfolio and governance required to prioritize resources, including budget.</li>
<li>Acts as a trusted advisor and builds and maintains relationships with other internal and external IT and business leaders to develop a clear understanding of business needs. Ensures cost-effective delivery of IT services to meet those needs and can respond with the agility required to address changing business priorities.</li>
<li>Develops and adheres to the annual operating and capital budgets and expenditures for infrastructure to ensure consistency with the departmental and organizational strategic objectives and remain within budget. Manages labor forecasting in support of project cost accounting.</li>
<li>Champions innovative efforts in experimenting with new solutions to take advantage of business opportunities.</li>
<li>Stays abreast of leading-edge and innovative solutions to the recruitment, development and retention of the IT workforce.</li>
<li>Drives the adoption and commitment to continual service improvement. </li>
</ul>
</li>
</ul>
<ul>
<li>45% - Program Oversight
<ul>
<li>Provides strategic direction and oversight for the design, development, operation and support of systems that fulfill the needs of the business, including a deep understanding of the marketplace and technology's role in supporting the assigned systems.</li>
<li>Defines, develops, and manages a comprehensive and integrated architecture for assigned systems based on best-practice processes, disciplines and toolsets.</li>
<li>Operates within the established governance process to ensure that services can continue to be delivered in line with the agreed-upon business outcomes and timelines.</li>
<li>Delivers effective service management through the definition and adoption of a governance practice that uses key performance indicators (KPIs) and metrics to track and measure the quality of service. Continually monitors metrics and the integration of them with key accountabilities to ensure consistency of approach and continual service improvement.</li>
<li>Participates in the assessment of external and internal technology capabilities required to achieve desired competitive positioning.</li>
<li>Maintains knowledge of new technologies and platforms and provides direction on what emerging technologies should be assimilated, integrated, and introduced, ensuring that technology capabilities respond to and support the needs of the business.</li>
<li>Negotiates with vendor and supplier partners to enable cost-effective and innovative contracts and solutions to achieve business goals and ensure receipt of full support in line with service agreements.</li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in computer science, information systems or other related field PLUS 7 years of experience within information technology leadership required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
<li>7 years of experience in an IT leader role responsible for data warehouse and analytics at large health plans required.</li>
<li>7 years of experience influencing business management and key stakeholders effectively across the organization required.</li>
<li>Experience with technology and business processes required to support data warehouse/analytics and AI functions including serving as the key IT partner for the organization's Business leader responsible for analytics required.</li>
<li>Experience in leading IT transformational initiatives creating a modern data platform that services analytics and AI in dynamic environments required.</li>
<li>Experience standing up AI governance, practices, and development required.</li>
<li>Experience managing staff of 20+ required. </li>
<li>Experience managing large-scale consulting/contracting engagements required. </li>
<li>Experience managing operational and project budgets (including project cost accounting) required. </li>
<li>Extensive experience constructing a data warehouse that includes all subject areas required of a health plan required. </li>
<li>Demonstrated ability to manage health plan data warehouse/analytics operations delivering consistently to best-in-class SLAs required. </li>
<li>Comprehensive knowledge of the data warehouse/analytics and AI technology vendor marketplace specifically for health plans and the ability to compare and contrast vendors and benefits delivered. </li>
<li>Experience completing the migration to new tools and structures to provide an improved analytics platform for the organization required. </li>
<li>Experience crafting business cases including meticulous cost estimates and quantifiable benefits required. </li>
<li>Extensive experience working closely with sophisticated analytics business partners to craft a roadmap and deliver on commitments required. </li>
<li>Extensive experience with the technology implications of a delegated provider model required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience leading a team leveraging Microsoft tools for Cloud-based data warehouse/analytics and Tableau.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6414386&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is August 7, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6414386" target="_blank">https://jobs.caloptima.org/jobs/director-information-technology-data-analytics-and-artificial-intelligence-technology-director-iv-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-0a8bd6061a6c8749bab4b148e2f99193

Director, Information Technology (Data Analytics and Artificial Intelligence Technology) (Director IV)

IT Project Manager-Scrum Master, Bedminster, NJ: Limited domestic travel to various unanticipated client locations nationwide, telecommute and/or relocate to lead system modernization and implementation of KPIs. Coordinate migration of .NET technologies. Run Scrum ceremonies for multiple teams. Create and maintain project management documentation, handle all aspects of project management in multiplatform environments. Salary: $102,939/yr. All employees receive the same benefits: 401(k), Medical, Dental, &amp; Vision. Reply to: Macrosoft, Inc., 135 Route 202/206, Suite 9, Bedminster, NJ 07921.

IT Project Manager-Scrum Master

IT: The Bank of New York Mellon seeks Senior Vice President, Front-End Engineer in NY NY loc to consult w/ internal bus. groups to provide high-level app softw dvlpmt srvcs or technl support. Utilize user-side frontend of website, as well as backend, srvr-side that powers user-side. Utilize security principles, relational dbases &amp; architecture design principles. Remote work permitted w/i commutable distance from worksite. REQ'MTS: Bachelor's or foreign equiv in CS, Comp Eng'g, IT or rel field &amp; 9 yrs exp in job offered or rel IT occupation. 9 yrs exp must incl: designing &amp; dvlpg RESTful backend srvcs using .Net to fetch fin'l data incl accts, portfolios, clients &amp; holdings from different data sources in orchestrated manner &amp; presenting data to caller as single response; designing &amp; dvlpg reusable components &amp; libraries using HTML, CSS &amp; JavaScript. Sal range: $184,959-$246,000/yr. Qualified applicants please apply online at <a href="https://bnymellon.eightfold.ai/careers" target="_blank">https://bnymellon.eightfold.ai/careers</a> &amp; utilize ref code #67282. Pls indicate "referral source-advertisement-NYT."

Senior Vice President, Front-End Engineer

IT: The Bank of New York Mellon seeks Vice President, Full-Stack Engineer II in Jersey City NJ to provide app softw dvlpmt srvcs or technl support in more complex situations. Responsible for req'mts gathering &amp; BRD/SRD prep w/ thorough knowl of Softw Dvlpmt Life Cycle. Remote work permitted w/i commutable distance from worksite. REQ'MTS: Bachelor's or foreign equiv in CS, Comp Eng'g, Electronic Eng'g or rel field &amp; 7 yrs exp in job offered or rel IT occupation in fin'l srvcs industry. 7 yrs exp must incl: utilizing Java/J2EE technology to create softw solutions, design, dvlp, technically troubleshoot, build solutions &amp; break down technl problems; implementing REST APIs &amp; scalable Micro srvcs using open-source Java frameworks incl Spring MVC, Hibernate, JPA, MongoDB, Spring boot &amp; design patterns. Sal range: $184,283.40-$203,000.00/yr. Qualified applicants please apply online at <a href="https://bnymellon.eightfold.ai/careers" target="_blank">https://bnymellon.eightfold.ai/careers</a> &amp; utilize ref code #67262. Pls indicate "referral source-advertisement-NYT."

Vice President, Full-Stack Engineer II

IT: The Bank of New York Mellon seeks Vice President, Full-Stack Engineer II in NY NY loc to provide app softw dvlpmt srvcs or technl support in more complex situations. Responsible for req'mts gathering &amp; BRD/SRD prep w/ thorough knowl of Softw Dvlpmt Life Cycle. Remote work permitted w/i commutable distance from worksite. REQ'MTS: Bachelor's or foreign equiv in CS, Comp Eng'g, Electronic Eng'g or rel field &amp; 7 yrs exp in job offered or rel IT occupation in fin'l srvcs industry. 7 yrs exp must incl: designing &amp; dvlpg high-volume low-latency apps using Core Java, Spring Boot, Dbase Scripting, IBM MQ, Kafka, HTML5, CSS, JSON &amp; Angular.JS; creating well defined &amp; robust RESTFUL APIs for payment processing which support SWIFT MT &amp; MX message formats &amp; processes wires &amp; other types of payments. Sal range: $166,480.32-$203,000.00/yr. Qualified applicants pls apply online at <a href="https://bnymellon.eightfold.ai/careers" target="_blank">https://bnymellon.eightfold.ai/careers</a> &amp; utilize ref code #67295. Pls indicate "referral source-advertisement-NYT."

Software Engineer IC-02 @ Stripe, Inc (New York, NY &amp; various unanticipated locations across the US) Design, build, &amp; maintain APIs, services, &amp; systems across Stripe's eng teams. Job req's Bach's in CompSci or rltd &amp; 1 yr of Software eng exp. Salary $177,756-$187,756//Yr. Must send resume to <a href="mailto:ad-reply@stripe.com" target="_blank">ad-reply@stripe.com</a> ref job code 3139638 to be considered

Software Engineer IC-02

Software Engineer @ Stripe, Inc. (New York, NY and various unanticipated locations across the US) Design, build, &amp; maintain APIs, services, &amp; systems across Stripe's engineering teams. Job req's Bach's in Comp Sci or rltd &amp; 2 yrs of softw devel exp. Salary $175,893-$185,893/yr. Must send resume and job code 3821398 to <a href="mailto:ad-reply@stripe.com" target="_blank">ad-reply@stripe.com</a> to be considered.

Software Engineer

Package Specialist, IBM Corporation, Armonk, NY and various unanticipated client sites throughout the US (Up to 80% telecommuting permitted): Gather business requirements from stakeholders and business users. Design business solutions, configure, develop, and test SAP functionalities in the finance area based on business requirements. Customize the SAP Finance and Controlling system to meet the client's business needs, including connection points with Sales Distribution and Materials Management. Analyze business requirements and design solutions within the SAP S4 Hana System in the finance and controlling areas. Perform functional unit testing for all custom Report, Interface, Conversion, Enhancement, Form and Workflow objects. Conduct stand-up meetings daily to discuss business requirements and clarify any questions from a technical standpoint. Further analyze business requirements in processing incoming PO and Non-PO invoices and provide solutions, accordingly, using the Readsoft Application (a third-party tool for performing 2-way and 3-way matching and processing incoming PO and Non-PO invoices). Utilize: SAP S/4HANA, SAP ECC (ERP Central Component), SAP Financial Accounting - Production Planning module, SAP Financial Accounting - Material Management module, SAP Financial Accounting - Sales &amp; Distribution and SAP S/4HANA Controlling module (CO). Required: Bachelor's degree or equivalent in Computer Science or related and five (5) year of experience as a SAP Consultant or related. Five (5) years of experience must include utilizing SAP S/4HANA, SAP ECC (ERP Central Component), SAP Financial Accounting - Production Planning module, SAP Financial Accounting - Material Management module, SAP Financial Accounting - Sales &amp; Distribution and SAP S/4HANA Controlling module (CO). $152859 to $164500 per year. Please send resumes to <a href="mailto:recruitad@us.ibm.com" target="_blank">recruitad@us.ibm.com</a>. Applicants must reference H241 in the subject line.

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