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HMSA · 4 months ago

Manager, Configuration

Honolulu, HI, 96814, United States

Full-time

Onsite

Mid, Senior Level

HMSA is a health plan provider based in the United States, and they are seeking a Manager of Configuration to lead strategic management and direction for health plan products and provider networks. The role involves developing policies for configuration accuracy, collaborating with various teams, and serving as a subject matter expert in configuration management.

AssociationHealth CareInsuranceMedical

Responsibilities

Provide strategic management and direction for the configuration of health plan products, provider networks, and reimbursement methodologies to ensure alignment with business requirements, state and federal regulations, and accreditation standards

Develop and implement policies, standards, and governance frameworks for configuration accuracy, quality control, and compliance

Collaborate with external partners, IT, Claims Operations, Provider Services, Compliance, and Product teams to ensure system configurations support new products, regulatory changes, and organizational initiatives

Lead testing, validation, and sign-off processes for new configurations, system upgrades, and change requests

Drive process improvements and automation opportunities to enhance configuration efficiency and reduce errors

Serve as a subject matter expert (SME) for configuration management, providing training, guidance, and mentorship to internal and external team members and business stakeholders

Performs all other miscellaneous responsibilities and duties as assigned or directed

Qualification

Configuration managementHealth plan productsRegulatory compliancePolicy developmentProcess improvementTrainingTeam collaborationMentorship

Required

Develop and implement policies, standards, and governance frameworks for configuration accuracy, quality control, and compliance

Lead testing, validation, and sign-off processes for new configurations, system upgrades, and change requests

Drive process improvements and automation opportunities to enhance configuration efficiency and reduce errors

Serve as a subject matter expert (SME) for configuration management, providing training, guidance, and mentorship to internal and external team members and business stakeholders

Performs all other miscellaneous responsibilities and duties as assigned or directed