The JobThe Director, Configuration Mgmt captures and defines requirements to create, validate, analyze, monitor and maintain critical reports for key department metrics. Responsible for continuous quality improvement of Configuration software applications, including management and oversight of system administration maintenance activities including system/user error reporting/tracking through resolution, enhancement testing validation through implementation, coordination of manufacture upgrades/releases with SCAN IT support and replacement software selection.
You Will Directs the daily operations of programs and applications for a team of 9-10 configuration resources including oversight of program and system activities, hiring and training of staff, staff evaluation including competency assessment and program audits, performance appraisals and regulatory and operational reporting.
Initiates and reviews program and application metrics for productivity and efficacy in support of the organization's mission and goals. Tracks and trends activities and outcomes to identify opportunities to improve service, quality of care and program efficiency.
Assures that configuration team has standard Policy and Procedures, desktop procedures, training materials, and program communications are current and accurately reflect the processes and regulatory requirements.
Ensures that configuration applications meet both current and future needs in support of organizational initiatives.
Provides central program and application ownership by representing the interests of and acting as subject matter expert regarding configuration programs and applications at internal committees as needed such as Quality Committees, Information Technology Governance Committee, and
Strategic and Operational Project Workgroups.Achieves financial objectives by preparing an annual budget, approving appropriate expenditures, analyzing variances, and initiating corrective action.
Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
Promotes compliance with and adheres to all regulatory and quality standards including but not limited to: Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), and accreditation bodies' standards such as the National Committee for Quality Assurance (NCQA) as it relates to the Performance Management and Clinical Systems activities.
Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
Contributes to team effort by accomplishing related results as needed.
Resource has industry certifications such as the Certified Medical Reimbursement Specialist (CMRS) certification from American Medical Billing Association (AMBA).
We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
Actively support the achievement of SCAN's Vision and Goals.
Other duties as assigned.
Your QualificationsGraduate or Advanced Degree or equivalent experience preferred in Healthcare or human service-related field, or RN with bachelor's degree
8 years of experience in a Managed Health Care setting, Medicare/Medicaid and 5 years of leadership experience preferred
Basic knowledge of related NCQA standards, CMS and DHS regulations
Understanding of System Development Life Cycle 3 Strong healthcare program development, quality and analysis skills including understanding of basic research methods, and ability to make decisions accordingly
Excellent presentation skills; group motivation and supervisory skills
Strong strategic planning, critical thinking and leadership skills 6 Strong verbal and written communication skills
What's in it for you?- Base Pay Range: $147,900-$214,030, Salary
- Work Mode: Mostly Remote
- An annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
- Excellent 401(k) Retirement Saving Plan with employer match
- Robust employee recognition program
- Tuition reimbursement
- An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
