Manager, Configuration

The Manager, Configuration oversees benefit configuration operations, manages a team of analysts, and ensures compliance and quality in healthcare benefit systems.

Salary: $95,000.00 – $116,000.00 annually

Responsibilities

• Provide day-to-day leadership, guidance, and support to Configuration Analysts.
• Oversee workforce planning, hiring, onboarding, and performance management.
• Ensure accurate build and maintenance of plan designs, provider reimbursement structures, and claims payment methodologies.
• Translate configuration strategies into actionable plans and oversee execution.
• Maintain adherence to regulatory and compliance requirements, including SOC controls and HIPAA standards.
• Support audit readiness and assist with audit activities.
• Partner with IT, Operations, and Product teams to assess new business needs and recommend solutions.
• Serve as a subject matter expert during audits, client meetings, and enterprise initiatives.
• Identify opportunities for automation, process optimization, and system enhancements.
• Support and lead special projects.

Requirements

• 5+ years of experience in healthcare benefit configuration or claims system administration.
• 3+ years of leadership experience managing teams or projects.
• Advanced knowledge of medical claims adjudication, benefit structures, and provider reimbursement methodologies.
• Familiarity with regulatory requirements (HIPAA, SOC controls) and audit processes.
• Strong working knowledge of Microsoft Office.
• 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).

Benefits

• Comprehensive total rewards package including health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost vision insurance.
• Opportunities for advancement and professional development.
• Flexible work arrangements, employee assistance programs, and other support programs.

Additional Information

• This role is compensated through a fixed annual salary.
• Expected salary range is $95,000 – $116,000 annually.
• This position is not eligible for bonus or incentive compensation.
• Must comply with HIPAA and security requirements.
• Versant Health is an equal opportunity employer.