Associate Director, IT Claims Systems

HealthTech Resources is seeking an experienced Associate Director to lead IT Claims Systems functions for a premier healthcare organization. This is an exciting opportunity to oversee the HealthRules Payer (HRP) and AMISYS claims systems, drive transformational change, and mentor a talented team. If you have a strong background in healthcare claims systems, Java/cloud technologies, and people management, we’d like to speak with you.

Primary Responsibilities

• Lead all efforts related to the AMISYS and HealthRules Payer (HRP) claims systems
• Maintain comprehensive knowledge of HRP, its configuration, and integrations
• Understand and support the organization’s business domains, including membership, providers, authorizations, claims, and payments
• Manage HRP production schedules and transaction management support
• Lead HRP system lifecycle activities, including upgrades, enhancements, QA, and regulatory changes
• Develop policies, procedures, and documentation for the team
• Coordinate with other IT teams to ensure consistency across systems and projects
• Provide regular updates and recommendations to IT leadership

Key Qualifications

• Bachelor’s degree in Computer Science, Business, or a related field (Master’s preferred)
• 15+ years of IT experience in software development, implementation, and support
• 10+ years of experience in a lead or management role, with 8+ in an IT department
• 5+ years of experience managing a claims system with Java, Oracle, and UNIX
• 5+ years of experience working in a healthcare environment
• Proficient in Java 8, Apache Camel, Spring Boot, XML, Maven, web services, Linux, and SQL
• Extensive experience with Oracle or SQL Server
• Proven leadership and people management skills
• Excellent verbal and written communication abilities
• Experience with Agile, Scrum, Waterfall, and other project management methodologies

Opportunity Highlights

• Lead a critical healthcare IT function overseeing claims systems
• Chance to drive transformational change and leverage new technologies
• Work with a talented team and enhance your technical and leadership skills
• Competitive salary commensurate with experience