Vice President, Interoperability Strategy – Operations

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Provide strategic and operational leadership for enterprise interoperability capabilities.

• Facilitate the secure and seamless movement of healthcare data between systems and organizations.

• Drive the enterprise interoperability strategy, roadmap, and operating model.

• Manage secure, accurate, and timely data exchanges among members, providers, health plans, and payer-to-payer capabilities.

• Ensure compliance with federal and state interoperability requirements.

• Convert regulatory changes into actionable business and technology plans.

• Collaborate with business, clinical, operational, and technology teams to enhance data exchange throughout managed care workflows.

• Establish governance, performance metrics, and risk management controls.

• Oversee partnership management for EHR and third-party integrators such as Epic, Oracle, and Athena.

• Cultivate and maintain relationships with providers, vendors, delegated entities, and external partners.

• Lead, mentor, and develop high-performing teams.

• Execute other duties as assigned.

• Adhere to all policies and standards.

⛳️ Requirements

• A Bachelor’s Degree in healthcare administration, business, information technology, informatics, or a related field is required.

• 10+ years of progressive leadership experience in healthcare interoperability, managed care operations, payer technology, or related domains is required.

• 5+ years of experience in leading enterprise interoperability strategy and execution within a payer or managed care context.

• 5+ years of strong knowledge of interoperability standards and requirements, including FHIR, HL7, EDI, and relevant CMS regulations.

• 5+ years of experience with essential managed care workflows such as claims, utilization management, provider data, clinical data exchange, and prior authorization.

• 5+ years of demonstrated capability to influence across functions, communicate effectively with senior leaders, and achieve results in a complex organization.

• Equivalent experience gained through accomplishments reflecting knowledge, duties, scope, and skills at this level may also be considered.

🏝️ Benefits

• Competitive pay.

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Additional incentives may be included in total compensation.

• Equal opportunity employer committed to diversity.