Manager, Configuration

Versant Health•Troy, NY

About The Position

The Manager, Configuration oversees the day-to-day operations and tactical execution of benefit configuration across the organization’s core claims platforms. This role ensures accurate and timely implementation of plan designs, fee schedules, and payment methodologies while maintaining compliance with regulatory and audit standards. The Manager leads a team of Configuration Analysts, drives operational excellence through process improvements, and partners cross-functionally to support client implementations, system enhancements, and departmental goals. Acting as a key liaison between business and technical teams, the Manager translates configuration strategies into actionable plans and ensures delivery against established SLAs and quality benchmarks.

Requirements

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

Nice To Haves

Advanced degree preferred.
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

Responsibilities

Provide day-to-day leadership, guidance, and support to Configuration Analysts, fostering a culture of accountability, collaboration, and continuous improvement.
Oversee workforce planning, hiring, onboarding, and performance management for configuration staff in collaboration with the Director, Configuration.
Monitor team workload and ensure timely execution of assigned tasks and projects.
Ensure accurate build and maintenance of plan designs, provider reimbursement structures, medical policy structures, and claims payment methodologies.
Translate configuration strategies into actionable plans and oversee execution to meet departmental SLAs and quality benchmarks.
Coordinate and prioritize configuration projects, including new client implementations, regulatory updates, and system enhancements.
Maintain adherence to regulatory and compliance requirements, including SOC controls and HIPAA standards.
Support audit readiness and assist with internal/external audit activities.
Implement quality assurance processes, including test plan development and defect prevention for system changes.
Partner with IT, Operations, and Product teams to assess new business needs and recommend scalable configuration solutions.
Serve as a subject matter expert for configuration during audits, client meetings, and enterprise initiatives.
Support integration with third-party vendors and provider networks as needed.
Identify opportunities for automation, process optimization, and system enhancements to improve efficiency and accuracy.
Contribute to continuous improvement initiatives and recommend best practices for configuration workflows.
Support and lead special projects as assigned or necessary.
Perform other duties as assigned.