Leader, Pricing & Claims Configuration
Status: Full-time, Exempt
Reporting to the Sr. Leader, Claims Payment Strategies and Configuration, the Leader, Pricing & Claims Configuration manages the design, development and implementation of configuration solutions that enhance business processes. The Leader supervises a staff of Professional Configuration Analysts and manages the work intake, prioritization, assignment and tracking of all pricing/claims configuration projects and requests. In addition, the Leader is responsible to:
Manage the workflow and ensure solutions are delivered timely, accurately and meet the expectations
of internal and external customers’ needs.
Ensure that all configuration solutions are adequately validated, tested prior to
implementation and automated when applicable.
Monitor progress and provide summary and trend reporting to senior leadership.
Identify, analyze, solve and/or escalate trends/issues surfacing within the department.
Oversee the management of the Pricing Configuration team including staffing, performance
evaluation, management of work assignments, goal setting, motivation, and other
Serve as a department liaison with business users across the organization.
Promote initiatives for process improvement, re-engineering and innovative thinking.
Assist with management of corporate and departmental projects within the department.
Assist with the development/maintenance of department business process policies and procedures
and ensures adherence from staff.
Perform other duties as assigned by management.
4 year college degree, preferably in the field of Computer Science, Data Analytics or Information Systems or three or more years of relevant work experience within Healthcare and Systems Configuration.
5+ years’ related professional experience; analytical, configuration, systems background. Experience managing staff, and creating performance plans for employees highly desired. Experience with Facets system configuration preferred.
- Excellent organizational skills and ability to work independently
- Strong written and verbal communication skills, including the ability to facilitate
meetings, effectively lead discussions, and prepare presentations to financial
and business leaders, including leadership
- Ability to build and maintain effective working relationships with all levels of leadership
- Self-starter with a high degree of initiative and follow-through
- Positive attitude and strong team player with eagerness to learn and add value to the
- Advanced analytical and problem-solving skills to prioritize work and resolve issues
using sound judgment to improve processes and drive change
- Capable of transferring knowledge to existing staff
MVP Health Care is an Affirmative Action/Equal Opportunity Employer (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at firstname.lastname@example.org.
- Job Family Claims/Operations
- Pay Type Salary
- Headquarters Office, 625 State Street, Schenectady, New York, United States of America