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Systems Director, Population Health Service Organizations

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American Nursing Care

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Location:
United States , Phoenix

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Category:
IT - Administration

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Contract Type:
Not provided

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Salary:

67.92 - 101.02 USD / Hour
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Job Description:

The System Director of IT Population Health Services Organization (PHSO) is a leader responsible for the strategic oversight, architecture, and operational performance of IT systems and applications that support population health management, managed care operations, and end-user support services within a Population Health Services Organization (PHSO). This role is pivotal in driving the successful implementation and optimization of platforms used for care coordination, risk stratification, quality improvement, and payer-provider integration, ensuring alignment with the organization's value-based care and health equity goals.

Job Responsibility:

  • Lead the design and implementation of IT systems that support managed care and population health objectives
  • Align systems architecture with organizational strategies related to value-based care, ACOs, Medicare Advantage, Medicaid, and commercial payer programs
  • Oversee integration of clinical and claims data to support whole-person care
  • Ensure systems support care coordination workflows, care management documentation, and chronic condition tracking
  • Manage platforms that support risk stratification, predictive modeling, and attribution logic
  • Collaborate with clinical leadership to build technology-enabled pathways for preventive care, care gaps, and patient engagement
  • Lead and mentor the End User Services team, ensuring excellent IT support for clinicians, case managers, analysts, and administrative staff
  • Develop and monitor SLAs, support KPIs, incident response times, and user satisfaction metrics
  • Oversee help desk operations, ticketing systems, desktop support, hardware/software provisioning, and user access governance
  • Direct the architecture and scalability of population health IT platforms and managed care applications
  • Ensure systems are resilient, secure, and compliant with federal, state, and local data privacy laws
  • Work with infrastructure and cloud teams to manage hosted environments and ensure system availability
  • Support interoperability between EMRs/EHRs, payer systems, HIEs, and third-party applications using FHIR, HL7, X12, or APIs
  • Ensure high data quality and integrity across disparate sources including clinical, claims, SDoH, pharmacy, and utilization data
  • Partner with analytics teams to enable performance dashboards, financial risk reports, and contract performance monitoring
  • Ensure systems support HEDIS, STARS, CAHPS, and other regulatory and quality reporting requirements
  • Identify system enhancements to support accurate and timely reporting of key population health and managed care metrics
  • Manage vendor relationships for care management, analytics, and managed care platforms (e.g., EZCap, QNext, Innovaccer)
  • Lead cross-functional projects for new implementations, upgrades, or enhancements
  • Track and report project timelines, risks, and success metrics
  • Ensure all systems comply with HIPAA, NCQA, CMS, and state/federal regulations
  • Participate in data governance committees to maintain data stewardship and documentation standards
  • Demonstrate effective financial stewardship by performing cost benefit analysis, and recommend solutions within corporate policies and standards
  • Lead and mentor System Managers, architects, developers, and integration engineers, fostering a culture of innovation, collaboration and continuous learning
  • Working with the CRO, holds accountability for cybersecurity related to PHSO applications and data movement
  • Partnering with the CRO, responsible for appropriate role based access control, accesses, and provisioning
  • Ensure system compliance with SOC2 type 2 standards

Requirements:

  • Bachelors Of Science - Information Technology, Health Informatics, or related field required
  • Masters Of Science - Information Technology, Health Informatics, or related field preferred
  • 10+ years in healthcare IT, with 5+ years in a leadership role
  • Experience with managed care models (Medicare Advantage, ACO, Medicaid), HIE integration, and population health tools (e.g., Epic EZCap, QNext, Healthy Planet, Innovaccer,)
  • Experience with FHIR, HL7, CCD, APIs, and other interoperability standards
  • Familiarity with ACO, CIN, and value-based care models
What we offer:
  • medical
  • prescription drug
  • dental
  • vision plans
  • life insurance
  • paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
  • tuition reimbursement
  • retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Additional Information:

Job Posted:
December 17, 2025

Employment Type:
Fulltime
Work Type:
Remote work
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