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The Executive Director, Application Development- Commercial claim and reimbursement defines and owns the vision and strategy for the mainframe ecosystem, driving modernization efforts and enhancing critical assets like Claims, Eligibility, and Plans. They will develop a flexible, multi-year roadmap to integrate people, processes, and technology, leveraging innovation, collaborating with stakeholders, and ensuring seamless execution to achieve organizational objectives.
Job Responsibility:
Define, own, and continually assess the mainframe vision, strategy, and roadmap, ensuring that the roadmap is achievable with varying levels of funding
evaluate and leverage new technologies (such as AI) to augment or replace mainframe-based capabilities
lead engineering teams across the Commercial and Network/Provider Areas
own and drive the mainframe development experience, improving the efficiency of resources
own and drive the resource strategy for mainframe systems, ensuring stability for CVS IP on these critical assets
define and revise KPIs for the solution-level scorecard to highlight critical metrics, socialize progress, and consistently reinforce objectives
develop relationships with key stakeholders to understand their needs, gather feedback, and ensure alignment of product strategy with organizational objectives
develop a strong relationship with enterprise architecture to take POC items into production
fully detail the TCO for mainframe assets in collaboration with internal Finance
fully leverage CVS vendor partner capabilities to yield maximum results
mentor the Executive Director of Claim and Reimbursement to ensure a comprehensive transition.
Requirements:
15+ years of overall work experience in mainframe centric roles
10+ years of Claim Adjudication or surrounding area experience
excellent written and verbal communication skills, particularly the ability to convey information in an accessible, concise, and clear manner
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