Manager, Configuration
Manager, Configuration - REMOTE
Perform configuration management duties in support of existing legacy Health Plans, new Health Plan implementations and reconfiguration of legacy Health Plans. The Configuration Manager shall use standard and consistent methodologies to develop and enhance existing environments in the core processing system.
• Manage a team of professional health insurance configuration analysts
• Provide subordinates with the resources needed to attain results
• Provide configuration expertise to internal staff, external departments, and the Health Plans
• Work with the business and project development teams to assess and recommend the appropriate configuration methodology for new and existing business
• Develop standard operating procedures and guidelines for the Configuration team
• Ensure the proper unit testing is conducted and documented
• Ensure the proper reporting and audit protocols are documented and managed to ensure quality control
• Enforce strict conformance to written configuration policies and guidelines
• Develop appropriate project and/or work plans to document work in progress and overall work effort
• Ensure service level agreements are met
• Provide status reports and project updates to management and stakeholders
Configuration Manager – Implementation
• Follow a standard configuration methodology for new business – Molina Configuration Methodology
• Follow a standard reconfiguration methodology for existing business – Molina Standard Configuration Method
• Participate in workgroups to support the implementation of new business
• Participate in workgroups to support the reconfiguration of existing business
Configuration Manager – Medicaid
• Manage the timely completions of Configuration Change Request Forms (CCRF’s)
• Manage the inventory of claims assigned to the Configuration Analysts
• Research and recommend improvements to the existing configuration in order to enhance the overall claims payment process
• Participate in corporate and Health Plan meetings as it relates to existing business
• SQL Server
• Microsoft Office Programs – Excel, Outlook, PowerPoint, Project, Visio, and Word
• Knowledge of health plan business processes
• Strong analytical skills
• Strong verbal and written communication skills
• Effective time management skills
• Strong leadership skills
• Excellent verbal and written communication skills
• Ability to abide by Molina’s policies
• Maintain regular attendance based on agreed-upon schedule
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
Required Education:
Bachelors Degree in business related disciplines
Required Experience:
• 5 – 7 years in management of health insurance payor systems
• 5 – 7 years of QNXT configuration management experience
Molina Healthcare is an Equal Opportunity Employer. (EOE). M/F/V/D