Manager, Configuration

2 days ago

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HealthAxis Group

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HealthAxis Group is a technology solutions provider specializing in healthcare administration. Their cloud-native platform, AxisCore™, streamlines health plan management through solutions like claims processing and benefit administration, designed to enhance operational efficiency. HealthAxis offers a suite of services including Business Process as a Service (BPaaS), consulting, and staff augmentation. The company's approach focuses on scalability, compliance, and tailored support, aiming to empower healthcare organizations to meet member needs effectively.

Claims Processing Software • Business Process Outsourcing (BPO) • Third Party Administrative Services • business process as a service (BPaaS) • Core Administrative Processing

201 - 500 employees

Founded 1965

⚕️ Healthcare Insurance

☁️ SaaS

💳 Fintech

📋 Description

• Oversee the configuration function within the health plan. • Supervise a team of configuration specialists. • Ensure accurate setup of benefits, fee schedules, pricing, and claims payment. • Collaborate with cross-functional teams for seamless integration of changes. • Manage testing and validation of configuration changes. • Monitor configuration performance, providing insights to senior leadership. • Identify opportunities for process improvements.

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, Information Technology, or a related field (required). • Master’s degree in Healthcare Administration or Business Administration is preferred. • Certification in Health Plan Administration, Configuration Management, or relevant IT certifications is a plus. • Ongoing professional development in areas related to health plan configuration, claims processing, or IT systems management is encouraged. • A minimum of eight years of health plan operations configuration is required. • A minimum of 5 years of experience in health plan operations, with at least 2-3 years in a supervisory or leadership role in configuration or system setup within a health plan or managed care organization. • Extensive experience with health plan benefits configuration, fee schedules, pricing models, and claims payment systems. • Strong background in system testing, including User Acceptance Testing (UAT), and issue resolution related to system configuration. • Experience in managing cross-functional teams, collaborating with IT, Claims, and other departments to ensure the accurate and timely setup of benefits and claims configurations. • Proven track record in process improvement and identifying opportunities to enhance operational efficiency and quality.

🏖️ Benefits

• Career Development Opportunities • Flexible Work Environment • Company Sponsored Events • Health, Dental and Vision Insurance • Paid Time Off (PTO) • 401K Plan