Job Summary:
The Senior Manager, Configuration is responsible for providing leadership and direction to ensure the goals and strategies of the department are successfully achieved.
Essential Functions:
- Provide leadership, vision, management goals, priorities, metrics, measures, recognition, and discipline to direct reports
- Responsible for effective identification of business problems, assessment of proposed solutions to those problems, and understanding of the needs of business partners
- Partner with cross functional leadership and vendors to achieve departmental and enterprise goals
- Ensure team is adhering to all corporate compliance policies and provide direction and support for the timely resolution of escalated or complex issues
- Manage end to end configuration project implementations
- Develop and drive automation capabilities to reduce manual effort
- Drive continuous improvement to improve efficiencies and standards
- Work and maintain resource plan to ensure department is staffed correctly and monitor team productivity
- Provide training and ensure team have the tools and knowledge to perform their job effectively
- Provide feedback routinely to leads/managers and team members to positively enforce good decisions and work accomplishments
- Define initiatives including business requirements gathering, project scope definition, project staffing requirements, documentation, reporting strategy, and change management process
- Implement opportunities for process improvement that impact operations, performance, and quality
- Track production issues and status to ensure proper follow-up and coordination
- Maintain project plans for all projects in which configuration is involved and ensure proper completion of those plans and escalation where timeframes will be changed
- Attend meetings and ensure configuration is implemented in a timely manner
- Develop and implement ticket controls and ensure that proper communication and approvals are in place prior to system implementation
- Escalate vendor management related issues to appropriate internal resources for resolution
- Oversee and accountable for the timely delivery of all regulatory based configuration related changes
- Participate in strategic planning and implement action plans
- Collaborate with team leads on effective people management strategies such as staffing, coaching, and mentoring
- Escalate to senior management any area of significant resource contention along with recommendations for resolution
- Perform any other job duties as requested
Education and Experience:
- Bachelor’s degree or equivalent years of relevant work experience is required
- Minimum of seven (7) years of health plan business or systems solutions experience is required
- Minimum five (5) years of health plan business or healthcare experience is required
- Minimum of three (3) years of management experience is required
- Facets configuration experience is required
- Extensive experience working in a team-oriented, collaborative environment is required
Competencies, Knowledge and Skills:
- Advanced computer skills and abilities in Facets
- Strong leadership, management skills and project management skills
- Strong SQL and reporting skills
- Strong knowledge of medical terminology
- Proficient in Microsoft Suite to include, Word, Excel, and Access
- High level of programming and systems development knowledge
- Knowledge of regulatory reporting and compliance requirements
- Excellent written and verbal communication skills
- Excellent listening and critical thinking skills
- Ability to be innovative and resourceful in problem resolution
- Demonstrated ability to think strategically about business, product and technical challenges from an enterprise perspective
- Knowledge of implementing enterprise level processes
- Strong interpersonal skills and high level of professionalism
- Ability to work collaboratively with all levels of management
- Analytical and problem-solving skills with attention to detail
- Ability to work independently and within a team environment
- Ability to develop, prioritize and accomplish goals
Licensure and Certification:
- Certified Professional Coder is preferred
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$108,600.00 - $190,000.00
CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.