Claims Configuration Director

Job Summary

Overseeing claims configuration and pricing/benefits setup within the claims payment system, the full-time remote Claims Configuration Director will ensure accurate reflection of provider contracts and claims payments while managing new business implementations and collaborating with stakeholders.

Key responsibilities

• Ensure timely and accurate configurations and pricing/benefits setup for new business implementations
• Collaborate with stakeholders to gather business requirements for system configurations and setup
• Identify and implement opportunities to automate processes to increase effectiveness and efficiency

Required qualifications

• Bachelor's degree in Business Administration, Health Care Administration, Information Technology, or related field, or equivalent experience
• 7+ years of experience in configuration, claims adjudication, pricing/benefits setup, or contracting
• Authorization to work in the U.S. without the need for employment-based visa sponsorship