Configuration Manager

Job Summary

Overseeing daily operations and tactical execution of benefit configuration, the full-time Manager, Configuration will lead a team of Configuration Analysts to ensure accurate implementation of plan designs and compliance with regulatory standards in a remote environment.

Key responsibilities

• Provide leadership and support to Configuration Analysts, ensuring timely execution of tasks and projects
• Ensure accurate build and maintenance of benefit structures and claims payment methodologies while overseeing configuration project priorities
• Maintain compliance with regulatory requirements and support audit readiness through quality assurance processes

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