Manager, Configuration

Job Summary

A company is looking for a Manager, Configuration.

Key Responsibilities

• Oversee daily operations and tactical execution of benefit configuration across claims platforms
• Ensure accurate implementation of plan designs and maintain compliance with regulatory standards
• Lead a team of Configuration Analysts and drive process improvements while collaborating cross-functionally

Required Qualifications

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