Director, Configuration

The Director, Configuration provides strategic leadership for benefit configuration and claims platform operations at Versant Health, overseeing standards, governance, and enterprise-wide initiatives to ensure scalability, quality, and compliance.

Location: Remote

Salary: $131,000.00 – $141,000.00 annually

Responsibilities

• Define and execute the multi-year configuration strategy and roadmap.
• Establish configuration standards, naming conventions, and quality benchmarks.
• Partner with leadership to forecast future requirements and guide investments.
• Lead and develop a high-performing team across multiple locations.
• Design and maintain governance frameworks for configuration processes.
• Ensure adherence to SOC controls, HIPAA, contractual SLAs, and regulatory requirements.
• Oversee risk identification, mitigation, and root-cause analysis.
• Drive continuous improvement initiatives to streamline workflows, reduce cycle times, and increase automation.
• Author and approve business requirements for platform enhancements.
• Coordinate with IT, Product, and vendors on solution design, development, and implementation.
• Oversee test strategy to ensure functional integrity and stability.
• Collaborate across departments to integrate configuration strategy into enterprise initiatives.
• Serve as a senior client-facing leader for strategic discussions, audits, and education.
• Partner with Claims and Clinical Operations to ensure alignment of policy administration, benefits, pricing, and payment methodologies.
• Lead coordination of business requirements and consulting requests for configuration-related enhancements.
• Engage with claims platform vendors to review, validate, and approve configuration changes.
• Establish and maintain vendor oversight and monitoring processes.
• Support and lead special projects as assigned.

Requirements

• 10+ years of experience in healthcare benefit configuration or claims system administration.
• 5+ years of leadership experience in a managerial or director-level capacity leading multi-site teams or programs.
• Advanced knowledge of medical/vision claims adjudication, benefit structures, medical policy administration, and provider reimbursement methodologies.
• Proven experience establishing governance, policies, and controls in regulated environments (HIPAA, SOC).
• Strong audit readiness and corrective action planning skills.
• Success in portfolio management, cross-functional leadership, vendor management, and executive reporting.
• Proficiency in Microsoft Office; SQL Server Management Studio (SSMS) and data querying/analytics preferred.
• Experience with configuration platforms such as Plexis Claims Manager (PCM), HSP Meditrac, or similar systems.

Benefits

• Comprehensive total rewards package including health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost vision insurance for employee and dependents.
• Paid time off and company holidays.
• Retirement savings with employer contribution.
• Employee wellness resources.
• Professional development opportunities.
• Flexible work arrangements, employee assistance programs, and other support programs.

Additional Information

• This role is compensated through a base salary and is eligible for an annual performance-based bonus.
• Expected base salary range is $131,000 – $141,000 annually.
• Bonus eligibility and payout depend on individual, team, and company performance.
• All associates must comply with HIPAA and security requirements.
• Versant Health is an equal opportunity employer and does not discriminate based on protected characteristics.
• The company will never request money from candidates or ask for payment during recruitment.