Overview
The IT Program Manager brings strong experience in adjudication processes and systems, specifically those related to government programs. This role manages various IT programs focused on claims adjudication, ensuring compliance with government program requirements. Serves are primary point of contact/owner/subject matter expert for various IT systems and applications. Researches, analyzes, and designs system applications to meet the needs of an organization and integrate with existing and future systems. Consults with users to identify current operating procedures, problems, and requirements. Designs models and develops materials used for analysis and solution development including process maps and diagrams. Develops documentation and other aids for users to assist with installation, maintenance and operating procedures. May create coding and logic specifications for developers. Work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project.
Position Location
This is a remote-based position within the Continental US.
Our Company
Founded in 1926, Maxor is a leading, independent pharmacy solutions platform that improves prescription drug affordability and outcomes. Over time, Maxor has built a unique and complementary suite of services and technology offerings that deliver clinical, financial and strategic value to patients, payors and providers across the pharmacy supply chain. Maxor has a proud heritage of growth and innovation earned over the decades. Amarillo, Texas is the legacy headquarters for Maxor, but our talent base is national. We operate pharmacies and other business operation sites across the United States with employees working from 44 states.
Why Maxor?
Pharmacies are essential to healthcare, with nearly 90% of the US population living within 5 miles of one and seeing their pharmacist an average of 12 times a year. Providing a positive patient experience is crucial to ensuring patients adhere to their therapies.
At Maxor, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients. Our employees are essential to their own well-being, finding fulfillment in meaningful work, competitive compensation, diverse and inclusive teams, and limitless career possibilities. With a growing workforce of 1,400+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care.
Responsibilities
Serves as a domain specialist within the IT team for claims processing systems and procedures, with a particular emphasis on government programs.
Researches, analyzes, and designs system applications to meet the needs of an organization and integrate with existing and future systems.
Consults with users to identify current operating procedures, problems, and requirements.
Designs models and develops materials used for analysis and solution development including process maps and diagrams.
Develops documentation and other aids for users to assist with installation, maintenance and operating procedures.
May create coding and logic specifications for developers.
Work is generally independent and collaborative in nature.
Contributes to moderately complex aspects of a project.
Consult with functional unit management and personnel to identify, define and document business needs and objectives, current operational procedures, problems, input and output requirements, and levels of systems access.
Act as a liaison between departmental end-users and IT in the analysis, design, configuration, testing and maintenance of systems in support of business processes.
Analyze the feasibility of, and develops requirements for, new systems and enhancements to existing systems; ensure the system design fits the needs of the users.
Track and fully document changes for functional and business specifications; write detailed universally understood procedures for permanent records and for use in training.
Develop visually appealing / accurate wireframes and application mock-up’s
Identify opportunities for improving business processes and functions.
Plan, organize and conducts business process improvement projects.
Assist in the preparation of proposals to develop new systems and/or operational changes.
Participates in user acceptance testing and testing of new system functionality and releases.
Provide end-user support at all levels.
Liaise with vendors and other IT personnel for problem resolution.
Collaborate with the business in gathering requirements and develop functional documentation to address business needs.
Collaborate, identify and document current state and future state business processes and workflows.
Develop organizational, business, application and functional process knowledge. Understand various functions end to end to identify process gaps, inefficiencies and areas for improvement.
Work with cross functional teams and internal users to resolve issues.
Lead though influence to get work done across programs, business units and company-wide initiatives
Work cross-functionally to solve problems and recommend changes to technology solutions and/or business processes.
Collaborate with the demand management team and other external departments to lead the assessment and selection of technology solutions and vendors, including the documentation and management of proposal requests.
Understand project objectives and benefits, documents the business case and project charter, including scope, resources and initial budget. Share technical and administrative knowledge to others.
Drive project success via formal requirements definition, solution design facilitation, and work with business and technical teams to build detailed test scripts.
Lead and manage testing on projects, including functional, integration and user acceptance testing.
Leverage several project management methodologies to ensure predictable project success.
Lead small projects and/or system enhancements.
Qualifications
Education:
- Bachelor’s degree in Computer Information Systems, Computer Science Business Management, or similar discipline from an accredited college or university.
Experience:
- 4-7 years directly related to the duties and responsibilities of the position.
- 5+ years developing Detailed Reports / Presentations / Requirements.
- 5+ years developing IT Data Models, desired.
- 5+ years developing Use Case & Test scenarios, desired.
- Experience with Agile Development Methodologies, desired.
Knowledge, Skills, and Abilities:
Strong experience in adjudication processes and systems related to handling government programs
Excellent written communication skills to deliver technical specifications
Excellent verbal communication skills to interview and gather requirement from business personnel.
Knowledge and Ability to develop using a variety of IT models (UML / Architecture / Data Flow / Application Flow)
Fundamental analytical and conceptual thinking skills in order to understand how business works
Ability to influence stakeholders and work closely with them to determine acceptable solutions
Experience creating detailed reports and giving presentations
Competency in Microsoft Office Suite including Word, Excel, PowerPoint, Visio
Strong experience in user testing and project management
A Track Record of following through on commitments
Excellent planning, organizational, and time management skills
Experience leading, developing and participating in top performing teams
A history of leading and supporting successful projects
Experience with Agile Development Methodologies
Change-Oriented Thinking
Adaptability and Flexibility
Progress over Perfection
Collaborative Mindset
WE OFFER
At Maxor, we foster a diverse and progressive culture that promotes a work-from-home model and a "dress-for-your-day" approach to work attire. Our team-oriented environment encourages collaboration and innovation.
We offer highly competitive compensation and comprehensive health benefits including:
- Comprehensive mental health and wellbeing resources
- Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
- Company-paid basic life/AD&D, short-term and long-term disability insurance
- Rx, dental, vision, other voluntary benefits, and FSA
- Employer-matched 401k Plan
- Industry-leading PTO plan
- And more!
Apply today at: https://www.maxor.com/careers/
Maxor is an EOE, including disability/vets
