Managing Director, Software Engineering PBM Claims Evernorth Health Services Hybrid

Job description

OVERVIEW: Reporting directly to the Vice President of PBM+ Technology, we are looking for a passionate, innovative, mission-based leader to head an adjudication team that supports all aspects of our core adjudication platform along with managing Client Intent capabilities, Consumer Driven Health and other key areas directly related to supporting our core Adjudication platform. 

Working closely with Business, Operations, and Technology partners (Cigna and Evernorth), along with leveraging technology and a transformational skillset, this leader will provide strategic and technical leadership for delivering business capabilities while driving thought leadership and innovation with business partners.

  

RESPONSIBILITIES:

• Leverage a deep understanding of the PBM landscape, our enterprise strategy, and emerging technologies to partner closely with the business to optimize current PBM solutions.
  
  

• Build and cultivate key relationships across the enterprise to align and drive expected results.

• Create & deliver new solutions by helping partners to see the art-of-the-possible and influencing the change needed to execute and deliver successfully.

• Responsible to establish, maintain and implement a technology vision and strategy aligned with a strategic roadmap and its priorities.

• The PBM+ leader will not only be critical to delivering on an aggressive portfolio and strategic roadmap, but also be key in helping build out an expansion plan to transform the current technology systems to demonstrate the ability to provide innovative solutions that will be instrumental in growing our EVERNORTH business.

• Ability to influence transformation change across a large scale organization based on a deep understanding of latest technology trends.

• Ability to manage/engage on large scale cross functional projects across various functional teams.

• Drive decisions relative to strategy, approach, purpose, prioritizations, trade-offs, investments, and funding.
  
  Ability to deeply educate and influence alongside of key business stakeholders to drive key decisions.

• Interface with external clients in designing both new and future opportunities.

• Grow and lead large teams of engineers and planning colleagues.

CRITICAL LEADERSHIP COMPETENCIES:

• Drives Vision and Purpose – Articulates a compelling vision of the positive impact the organization can make.

• Innovation & Digital First Mindset - creating better ways for the organization to be successful in a highly complex environment and continue to drive digital first applications and strategies.

• Delivers Results – Pushes team and cross functional partners to deliver needed results in tough circumstances and expedited timelines.

• Instills Trust – Quickly gains confidence and trust of others through honesty, integrity, and authenticity.

• Builds Effective Teams – Builds strong identity teams that apply their diverse skills and perspectives to achieve common goals.

• Action Oriented – Takes on tough challenges with sense of urgency, high energy, and enthusiasm.

• Decision Quality – Makes sound and timely decisions to keep work moving forward.

• Directs Work – Provides direction to direct reports and cross functional teams and removes barriers to getting work done.

• Manages Complexity – Makes sense of complex and sometimes contradictory information to effectively solve problems.

• Manages Ambiguity – Operates effectively and drives work forward even when things are not certain or there is no clear way forward.

• Balances Stakeholders – Anticipates and balances the needs of multiple stakeholders across Health Services and Enterprise.

• Collaborates – Quickly builds partnerships and works collaboratively with others to ensure progress.

• Courage – Steps up to address difficult issues and says what needs to be said.

• Communicates Effectively – Develops and delivers multi-mode communications that convey a clear message and adapts to multiple audiences.

• Situational Adaptability – Adapts approach and demeanor in real time to match the shifting demands of different situations.

CRITICAL TECHNOLOGY COMPETENCIES:

• Must be solution-oriented and business-minded with significant practical experience in building, delivering, and supporting technology systems to meet near term business and growth commitments for multiple businesses while simultaneously developing future capability to create optionality across the enterprise.

• Experienced in operating in an Agile methodology and environment.

• Experienced with evaluating emerging technologies and recommending potential partnerships that provide efficiencies and competitive advantage.

• Experienced with developing reusable assets such as prototypes, POCs, and MVPs that contribute to organizational effectiveness and efficiency.

• Deep knowledge of service-oriented and event-driven architectures.

• Hands-on experience in cloud engineering and cloud-native design across multiple cloud platforms.

• Well-versed in API development and management.

• Demonstrated ability building highly performant and robust technology solutions.

• Experienced with industry standard programming languages, operating systems, application development frameworks, monitoring tools, and CI/CT/CD tools.

• Deep understanding of non-functional requirements and their importance to solution design.

REQUIRED SKILLS:

• Work experience as an engineering leader in a senior level position.

• Bachelor’s degree required; Master’s degree is preferred.

• Minimum 15 years in technology leadership with significant healthcare experience.

• Demonstrated success with delivering data/software using modern, cloud-based technologies.

• Visionary, innovative, and strategic thought leader with transformational experience who can align and inspire teams to execute successfully.

• Successful P/L leadership.

• Proven ability to deliver strategic initiatives.

• Experience in a wide variety of information technology disciplines.

• Prioritize investment decisions relative to future strategy while effectively managing cost in the near term.

• Ability to leverage deep understanding of the healthcare landscape to drive strategic outcomes inclusive of building new capabilities and recommending partnerships, M/A, etc.

• Ability to communicate highly technical concepts in non-technical terms to influence stakeholders, vendors, and clients. 

• Aptitude and interest to learn new and emerging business and technologies. 

• Ability to manage vendors effectively.

• Commitment to diversity, inclusion, and belonging.

• Ability to recruit, motivate, and develop an exceptional, global team of technology professionals.

Required Skill Profession

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