Configuration Manager

Job Summary

Configuration Manager, oversees the day-to-day operations and tactical execution of benefit configuration across core claims platforms in a full-time salaried role.

Key Responsibilities

• Provide leadership and support to Configuration Analysts, ensuring accountability and collaboration
• Ensure accurate implementation and maintenance of plan designs and payment methodologies while adhering to compliance standards
• Identify opportunities for process improvements and automation to enhance efficiency and accuracy

Required Qualifications

• Bachelor's Degree required; advanced degree preferred
• 5+ years of experience in healthcare benefit configuration or claims system administration required
• 3+ years of leadership experience managing teams or projects required
• Advanced knowledge of medical claims adjudication and provider reimbursement methodologies required
• Familiarity with regulatory requirements (HIPAA, SOC controls) and audit processes required