Director, Enterprise Applications

Martin's Point Health Care

. Leads and transforms the Health Plan Applications (HPA) teams into a single, integrated function with clear IT and business ownership, defined roles, and a sustainable operating model for core system configuration .

Posted 10/30/2026full-timeRemote • Maine • United StatesLead💰 $165,547 - $204,499 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in leading application development and configuration teams within the healthcare IT sector, with a strong focus on system performance, quality assurance, and compliance with industry standards. Proficient in managing vendor relationships and optimizing operational processes to enhance service delivery and support organizational change.

Highest-signal resume keywords

Health Plan Applications LeadershipQNXT Configuration and AdministrationApplication Development and IntegrationProject Management (PMP, Agile/SAFe)Healthcare Data Standards (HL7 FHIR, X12 EDI)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

System ConfigurationClaims and Benefit ConfigurationTest Plan DevelopmentSoftware Development Life Cycle (SDLC)Data Accuracy and Quality AssuranceVendor ManagementOperational ReadinessBudget ManagementChange ManagementHealthcare Information Technology

Soft Skills

LeadershipInterpersonal CommunicationProblem SolvingTeam BuildingCritical Thinking

Tools & Technologies

Salesforce/CRMJiraServiceNowAzure DevOpsDevOps

Certifications & Qualifications

Project Management Professional (PMP)Agile/SAFe CertificationITIL Certification

Industry Keywords

Medicare AdvantageTRICARECMS Interoperability RequirementsManaged Care Computer SystemsClaims and Billing Practices

Tech Stack

Tools & technologies

AzureITSMPMPSDLCServiceNow

About the role

Key responsibilities & impact

Leads and transforms the Health Plan Applications (HPA) teams into a single, integrated function with clear IT and business ownership, defined roles, and a sustainable operating model for core system configuration
Drives quality, timely system configuration and maintenance of core health plan systems, including QNXT, care management, and enrollment systems
Oversees, develops, and maintains documentation for claims and benefit configuration processes and procedures with appropriate controls, reporting, and quality assurance
Develops robust testing protocols and supports regular audits and quality checks to ensure configuration accuracy, data accuracy, and system performance
Leads the Application Development team in designing, building, and supporting custom applications and system integrations using SDLC, DevOps, and secure development standards
Provides leadership for the Enterprise Salesforce/CRM platform, including platform ownership, administration, release management, and applications support
Partners with Enterprise Architecture to align application solutions with enterprise standards, technology roadmap, integration, and data strategies
Develops work intake mechanisms and tools to manage ticket inventory, prioritize backlog, and assess work types
Delivers vendor oversight to optimize system processing and pursue new vendor opportunities, including RFI/RFP processes
Collaborates with business, Operations, Data & Analytics, and IT teams on system and operational readiness for fixes, configuration, and project rollouts
Coordinates with infrastructure and integration teams on system upgrades, enhancements, integration updates, and file loads
Manages the Enterprise Applications budget, staffing plan, and vendor spend; tracks performance against key metrics and service levels
Demonstrates the organization’s mission, vision, and core values

Requirements

What you’ll need

Bachelor's degree required
10+ years health plan or healthcare information technology experience, including 5+ years leading application, configuration, or development teams required
Experience managing vended core system applications required
Demonstrated experience leading organizational change and transforming team operating models required
Experience with test plan development, strategy, and execution required
In compliance with MPHC’s Department of Defense contract, all persons hired for this position will need to verify their U.S. citizenship and complete the required employment eligibility verification upon hire
Master's in Business Administration, Information Systems, or comparable advanced degree strongly preferred
Project management (PMP), Agile/SAFe, ITIL, or Salesforce certification preferred
Experience with Cognizant (TriZetto) QNXT configuration, administration, or implementation strongly preferred
Experience leading application development teams (custom development, integrations, SDLC) preferred
Familiarity with Salesforce or other CRM platforms preferred
Experience supporting Medicare Advantage and/or TRICARE lines of business preferred
Knowledge of CMS interoperability requirements (e.g., CMS-0057-F) and healthcare data standards (HL7 FHIR, X12 EDI) preferred
Knowledge of Agile delivery practices and IT service management (ITSM) preferred
Proficiency with work management and ticketing tools (e.g., Jira, ServiceNow, Azure DevOps) preferred
Knowledge of reimbursement agreements as well as claims and billing practices that impact cost and utilization data
Knowledge of industry standards for claims and enrollment configuration, reporting and analysis
Knowledge of benefit coverage and servicing members, providers, and the DoD, CMS/ Medicare Advantage, and ME state insurance coverage
Knowledge of managed care computer systems, features, and reporting
Excellent workflow and inventory management skills
Demonstrated interpersonal, communications, operational, team building, and quality improvement skills
Strong leadership, coaching and change management skills
Ability to communicate effectively with executive leadership and translate business needs into technology solutions
Demonstrates an understanding of and alignment with Martin’s Point Values
Develops and maintains positive, effective working relationships with colleagues, vendors, and other internal and external customers
Excellent problem solving, quantitative and analytical skills with the ability to assess performance against metrics
In-depth technical knowledge and ability to learn new technologies; knowledge of the Software Development Life Cycle (SDLC)
Ability to manage, organize, and prioritize workload in a timely accurate manner
Ability to manage multiple competing demands and function independently
Critical thinking: can identify root causes and implement short- and long-term sustainable solutions
This position is not eligible for immigration sponsorship

Benefits

Comp & perks

medical insurance
dental insurance
vision insurance
retirement savings with employer contributions
paid time off
volunteer time off
pie day
other employee benefits
additional compensation, such as incentive or commission-based programs, where applicable and subject to the terms of the applicable plan