Director of Configuration

Job Summary

Director of Configuration provides full-time strategic leadership for benefit configuration and claims platform operations, ensuring compliance, quality, and operational excellence while overseeing multi-year roadmap initiatives.

Key Responsibilities

• Define and execute the multi-year configuration strategy and roadmap
• Lead and develop a high-performing team across multiple locations
• Design governance frameworks for configuration processes and ensure compliance with regulatory requirements

Required Qualifications

• Bachelor's Degree required; advanced degree preferred
• 10+ years of experience in healthcare benefit configuration or claims system administration
• 5+ years of leadership experience in a managerial or director-level role
• Advanced knowledge of medical/vision claims adjudication and provider reimbursement methodologies
• Proficiency in Microsoft Office; experience with SQL Server Management Studio preferred