Partnership HealthPlan of California

Sr. Manager of HRP Transaction Management

Job Locations US-CA-Fairfield
Job ID
2024-2975
FLSA Status
Exempt
Hiring Range
$133,515.56 - $180,245.32

Overview

The Sr. Manager of HRP Transaction Management will oversee and manage HRP Transaction Management functions effectively. This entails leading a team, prioritizing tasks, establishing and enforcing standards, training staff, testing and implementing new code, analyzing user requirements, and aligning work with business priorities.

Responsibilities

  • Lead Health Rules Payer (Claims System) Transaction Management responsibilities.
  • Maintain comprehensive knowledge of HRP, HRP Configuration, and its integrations.
  • Maintain comprehensive knowledge of PHC business and HRP implementation of
    Membership, Providers, Authorizations, claims, and Payment domains.
  • Responsible for Transaction Management Service Desk functions.
  • Responsible for managing HRP Production schedules and its Transaction Management
    support functions.
  • Collaborate with the Phoenix Team to support HRP System upgrades.
  • Engage with the HRP Configuration team to support and implement regulatory
    requirements.
  • Lead projects and initiatives as assigned
  • Develop policies and procedures to document team standards.
  • Create and maintain documentation for all projects
  • Maintain advanced proficiency in Oracle, Java, WebSphere, APIs, HRP System, PHC
    ODS, and its implementation.
  • Conduct regular meetings with business partners to ensure alignment with business
    objectives.
  • Coordinate with other IT units, including Data Warehouse, EDI, Web Applications, and
    Operations, to maintain consistency across systems, services, integrations, and projects.
  • Provide regular updates to the IT leadership Team regarding all activities and issues.

Qualifications

Education and Experience

Bachelor’s degree required or Master’s degree preferred in Computer
Science, Business, or a related field preferred. At least twelve (12)
years of IT experience in developing, implementing, and supporting
software systems. At least eight (8) years of experience in a lead or
management role, with at least five (5) of those years within an IT
department. Three (3) plus years of managing a claims system with
java, Oracle, and UNIX experience. At least five (5) years of
experience in a healthcare environment is required. Demonstrated
experience in leading with large, complex projects. Experience with a
variety of project/process management tools and methodologies (e.g.
Agile, Scrum, Kanban, Waterfall, and Lean).

 

Special Skills, Licenses and Certifications

8 Years of experience in Java8, Apache Camel, Spring Boot, XML,
Maven, Web Services (SOAP/REST), Apache ActiveMQ/JMS,
PL/SQL, Linux & Shell Scripting, WebSphere, Web servers,
AppDynamics. 8 Years’ experience in Oracle or SQL Server.

 

Performance Based Competencies

Strong verbal and written communication skills are important,
responsibilities will include extensive team and customer contact.
Ability to quickly acquire in-depth knowledge of new systems and
software configuration at PHC. Strong written and oral communication
skills with ability to interpret and understand technical requirements.

 

Work Environment And Physical Demands

More than 50% of work time is spent in front of a computer monitor.

 

All HealthPlan employees are expected to:

  • Provide the highest possible level of service to clients;
  • Promote teamwork and cooperative effort among employees;
  • Maintain safe practices; and
  • Abide by the HealthPlan’s policies and procedures as they may from time to time be updated.

HIRING RANGE:

 

 $ 133,515.56 - $ 180,245.32

 

IMPORTANT DISCLAIMER NOTICE

 

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform.  The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

 

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