Manager, Configuration oversees the day-to-day operations and tactical execution of benefit configuration across the organization’s core claims platforms.

Manager, Configuration oversees the day-to-day operations and tactical execution of benefit configuration across the organization’s core claims platforms. This role 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 required
3+ years of leadership experience managing teams or projects required
Advanced knowledge of medical claims adjudication, benefit structures, and provider reimbursement methodologies required
Familiarity with regulatory requirements (HIPAA, SOC controls) and audit processes required
Strong working knowledge of Microsoft Office required; familiarity with SQL Server Management Studio (SSMS) and data querying preferred

Benefits

Total Rewards package
health and dental insurance
tuition reimbursement
401(k) with company match
pet insurance
no-cost-to-you vision insurance for you and your qualified dependents