Manager, Configuration

Manager, Configuration oversees the day-to-day operations and tactical execution of benefit configuration across the organization's core claims platforms. Ensures accurate and timely implementation of plan designs, fee schedules, and payment methodologies while maintaining compliance with regulatory and audit standards.

Requirements

• Bachelor's Degree
• 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, benefit structures, and provider reimbursement methodologies
• Familiarity with regulatory requirements (HIPAA, SOC controls) and audit processes
• Strong working knowledge of Microsoft Office
• Familiarity with SQL Server Management Studio (SSMS) and data querying
• Experience with configuration platforms such as Plexis Claims Manager (PCM), HSP Meditrac, or similar systems

Benefits

• Tuition reimbursement
• 401(k) with company match
• Pet insurance
• No-cost-to-you vision insurance for you and your qualified dependents

Originally posted on Himalayas