Medicaid IT Director: Data, Security & Reporting

S2Tech; Chicago (IL); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Medical / Dental / Vision Insurance –

Paid Time Off

401(k) Retirement Savings Plan & Heath

Training courses

Corporate Wellness Program

Job summary

S2Tech is seeking a Director of Information Technology - Medicaid to lead technology, data-management, integration, and reporting for the Illinois TCMP in the Chicago area, with regular work from the client’s local office.

The role requires a minimum of ten years of Medicaid information systems experience, strong leadership, and ability to coordinate with state stakeholders, vendors, and care-management teams.

Qualifications

• At least ten years of experience with Medicaid information systems, data processing, and data reporting.
• Demonstrated leadership experience implementing, integrating, operating, or maintaining enterprise Medicaid or healthcare data-management platforms.
• Experience producing and submitting accurate member-level and aggregate reports for a state Medicaid agency or comparable government healthcare program.
• Strong experience with healthcare data architecture, system integration, data exchange, data quality, reconciliation, reporting, analytics, and dashboards.
• Experience leading system implementation, readiness, testing, data validation, production launch, and ongoing operational support.
• Working knowledge of HIPAA and healthcare privacy and security requirements, including experience operating within a controlled or audited environment.
• Experience working directly with state agency stakeholders, program leadership, product and engineering teams, vendors, and subcontractors.
• Ability to translate contractual requirements into system capabilities, data specifications, operational processes, and measurable deliverables.
• Strong executive communication, problem-solving, risk-management, and cross-functional leadership skills.
• Ability to work in the Chicago area and from the client's local office at least part of the time.
• Ability to satisfy HFS review and approval requirements for key personnel.

Responsibilities

• Provide overall leadership for the TCMP technology and data-management environment during implementation, readiness review, launch, and ongoing operations.
• Oversee and maintain the program's data-management system to support complete, valid, and timely collection and processing of program and Class Member information.
• Ensure the technology platform supports care-manager assignments, assessments, service plans, contacts, referrals, tasks, incidents, transition activities, service delivery, and outcomes.
• Lead the data architecture needed to capture, store, reconcile, and surface real-time information about Class Member outcomes and services delivered by the client and its partners.
• Establish and maintain secure connectivity and bidirectional data exchange with HFS, State partners, and HFS-designated vendors.
• Ensure the reporting platform produces complete and accurate reports, data files, dashboards, and extracts at both aggregate and Class Member levels in formats and frequencies specified by HFS.
• Implement data-quality, validation, reconciliation, exception-management, and corrective-reporting processes to identify and resolve incomplete or inaccurate data promptly.
• Support reporting for Williams and Colbert Consent Decree compliance, care-management operations, transitions, customer service, quality assurance, subcontractor performance, and other HFS requirements.
• Lead or contribute to the System Readiness Plan, Data Security Plan, technology policies, operating procedures, and evidence required for HFS readiness review and approval.
• Demonstrate that the care-management system, reporting platform, customer-service technology, portal, and external data connections are fully functional before operational launch.
• Coordinate with the client’s product development, project management, operations, compliance, quality, security, and reporting teams to align technology delivery with program requirements.
• Provide functional oversight to the Chief Security Officer and help ensure compliance with applicable State and federal security, privacy, HIPAA, incident-response, and SOC 1 and SOC 2 requirements.
• Support analytic tools and dashboards used to monitor caseloads, acuity, productivity, program performance, service levels, and compliance in real time.
• Respond to evolving HFS reporting needs and communicate technology risks, dependencies, milestones, and corrective actions clearly to the client, S2Tech, HFS, and other stakeholders.

Job description

S2Tech is seeking a Director of Information Technology - Medicaid to lead technology, data-management, integration, and reporting for the Illinois TCMP in the Chicago area, with regular work from the client’s local office.

The role requires a minimum of ten years of Medicaid information systems experience, strong leadership, and ability to coordinate with state stakeholders, vendors, and care-management teams.