Manager, Configuration

Manager, Configuration

What are we looking for?

The 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. The Manager leads a team of Configuration Analysts, drives operational excellence through process improvements, and partners cross-functionally to support client implementations, system enhancements, and departmental goals. Acting as a key liaison between business and technical teams, the Manager translates configuration strategies into actionable plans and ensures delivery against established SLAs and quality benchmarks.

Where you will have an impact

Team Leadership & Operational Oversight

Provide day-to-day leadership, guidance, and support to Configuration Analysts, fostering a culture of accountability, collaboration, and continuous improvement.

Oversee workforce planning, hiring, onboarding, and performance management for configuration staff in collaboration with the Director, Configuration.

Monitor team workload and ensure timely execution of assigned tasks and projects.

Configuration Execution

Ensure accurate build and maintenance of plan designs, provider reimbursement structures, medical policy structures, and claims payment methodologies.

Translate configuration strategies into actionable plans and oversee execution to meet departmental SLAs and quality benchmarks.

Coordinate and prioritize configuration projects, including new client implementations, regulatory updates, and system enhancements.

Compliance & Quality Assurance

Maintain adherence to regulatory and compliance requirements, including SOC controls and HIPAA standards.

Support audit readiness and assist with internal/external audit activities.

Implement quality assurance processes, including test plan development and defect prevention for system changes.

Cross-Functional Collaboration

Partner with IT, Operations, and Product teams to assess new business needs and recommend scalable configuration solutions.

Serve as a subject matter expert for configuration during audits, client meetings, and enterprise initiatives.

Support integration with third-party vendors and provider networks as needed.

Process Improvement

Identify opportunities for automation, process optimization, and system enhancements to improve efficiency and accuracy.

Contribute to continuous improvement initiatives and recommend best practices for configuration workflows.

Other Duties

Support and lead special projects as assigned or necessary.

Perform other duties as assigned.

What's necessary to do the job?

Education

Bachelor's Degree

Required

Notes: Advanced degree preferred.

Experience

5 Years

Required

Notes:

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

Experience with configuration platforms such as Plexis Claims Manager (PCM), HSP Meditrac, or similar systems preferred

Licenses and Certifications

N/A

Preferred/Required

Notes:

HIPAA & Security Requirements

All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company's Privacy & Security Training Program.

Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.

We offer a comprehensive and competitive total rewards package designed to support your health, financial well-being, and work-life balance. Benefits include medical, dental, and paid vision coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond.

This role is compensated through a fixed annual salary. The expected salary range for this position is $95,000.00 - $116,000.00 annually, based on role scope, experience, and market considerations. This position is not eligible for bonus or incentive compensation.