Associate Vp, Specialty Core Administration Platforms

CarePlus Health Plans Inc

Base: $189,400 - $260,500 py; bonus/equity: eligib...
Not specified (could be inferred as hybrid or fully remote based on the nature of the role).
10+ years technology leadership experience
5+ years leading complex transformation initiatives
Deep understanding of health plan operations
The Associate Vice President, Specialty Core Administration Platforms at CarePlus Health Plans Inc. will lead technology strategy and implementation for Specialty product core systems, focusing on claims processing and broader functionalities for Humana’s Dental and Vision plans. The role requires a deep understanding of health plan operations, technology modernization, and an ability to manage legacy systems while transitioning to innovative platforms

Job Summary

  • This role leads the technology strategy for Specialty Core Administration Platforms covering over 11 million dental and vision members.
  • The position requires balancing ongoing business operations on legacy mainframe systems while implementing innovative cloud and SaaS-based platforms.
  • Candidates must demonstrate extensive experience in strategic planning, budgeting, and vendor negotiations within a highly regulated healthcare environment.

Matching Summary

Match Score: 85

The Associate Vice President, Specialty Core Administration Platforms at CarePlus Health Plans Inc. will lead technology strategy and implementation for Specialty product core systems, focusing on claims processing and broader functionalities for Humana’s Dental and Vision plans. The role requires a deep understanding of health plan operations, technology modernization, and an ability to manage legacy systems while transitioning to innovative platforms.

Salary

Base: $189,400 - $260,500 per year; Bonus/Equity: Eligible for bonus incentive plan based on performance; Benefits: Medical, dental, vision, 401(k), paid time off, disability, life insurance

Skills & Requirements

Must-have

  • 10+ years technology leadership experience
  • 5+ years leading complex transformation initiatives
  • Deep understanding of health plan operations
  • Claims adjudication and payment expertise
  • Legacy to cloud migration experience
  • Vendor management and negotiation skills
  • Regulatory compliance in healthcare

Nice-to-have

  • Experience with Humana technology platforms
  • DevOps and architecture accountability
  • Matrixed environment delivery capability
  • Innovative problem-solving mindset
  • Strong change management skills

Key Requirements

  • Bachelor's degree in Computer Science or related field
  • 10+ years progressive technology leadership experience
  • Proven track record of platform migration in regulated environments
  • Extensive experience in strategic planning and budgeting

Work Rights

Not specified

Tailored Resume

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