Managed Care Applications Manager

Mediant Health Resources; Fort Worth (TX); On-site; USD 110,000 - 160,000; Full time

Job summary

Mediant Health Resources seeks Senior Epic and MEDITECH Revenue Cycle Consultants to lead the design, integration, and deployment of health plan applications and system enhancements within our enterprise environment.

You will oversee core health plan systems—claims adjudication, EDI/X12, CRM, data warehouses, and analytics—while driving performance and security standards.

You will mentor technical staff and collaborate with business units to deliver compliant, efficient revenue cycle solutions.

Responsibilities

• Lead the development, integration, and deployment of health plan applications and system enhancements, ensuring solutions are delivered and operational
• Oversee core health plan systems including claims adjudication platforms, EDI/X12 transactions, CRM systems, data warehouses, and reporting/analytics tools
• Manage integrations between health plan systems, provider systems, and external partners using EDI, APIs, and HIE connectivity.
• Translate business and operational requirements into technical solutions while coordinating with enterprise architecture and infrastructure teams to meet security, compliance, and performance standards
• Evaluate existing applications and workflows to identify inefficiencies and implement system or process improvements that support health plan operations
• Manage and mentor technical staff, including hiring, performance management, and day-to-day team direction while partnering with business departments to support operational needs

Job description

• Lead the development, integration, and deployment of health plan applications and system enhancements, ensuring solutions are delivered and operational
• Oversee core health plan systems including claims adjudication platforms, EDI/X12 transactions, CRM systems, data warehouses, and reporting/analytics tools
• Manage integrations between health plan systems, provider systems, and external partners using EDI, APIs, and HIE connectivity.
• Translate business and operational requirements into technical solutions while coordinating with enterprise architecture and infrastructure teams to meet security, compliance, and performance standards
• Evaluate existing applications and workflows to identify inefficiencies and implement system or process improvements that support health plan operations
• Manage and mentor technical staff, including hiring, performance management, and day-to-day team direction while partnering with business departments to support operational needs

Senior Epic and MEDITECH Revenue Cycle Consultants