Supervisor of Configuration

To supervise employees working in the assigned areas of responsibility within the Configuration Department.

Maintains the accuracy and completeness of assigned projects and programs per Partnership and State of California Medi-Cal guidelines and department director instruction.

Develops and executes program improvements aligned with strategic priorities.

To provide overall project support for planning, implementation, testing, and coordination of configuration enhancement work plans.

Develops reports and presents information to Configuration department leadership.

Provides leadership, coaching, and coordination for assigned Partnership projects and programs.

Responsible for execution and ongoing development of the Configuration training and audit programs.

 Provides daily direction to direct reports and is responsible for supervision, including timecards, performance discussions, mentorship, and development plans.  Interviews and participates in the selection of qualified candidates for Configuration staff.  Supervision of system configuration activities and projects  Reviews, approves, and provides feedback on completed system changes and enhancement work plans received from the configuration staff to ensure compliance with project approval and specifications.  Ensures configuration projects are completed timely/within compliance deadlines.  Provides technical support and guidance for the Configuration training and audit program  Supports configuration staff in development, design, and completion of enhancement work plans on assigned projects.  Reviews, modifies, and maintains as appropriate, the capitation and fund subsystems based on Partnership policies and contracts. Coordinates all changes with Partnership Finance department.  Reviews State of California Medi-Cal OILs/routine Medi-Cal policy updates to implement system changes required to ensure Partnership compliance with DHCS policy requirements  Reviews DHCS All Plan Letters (APL) to implement system changes required to ensure Partnership compliance with DHCS policy requirements  Ensures project inventories are accurate and completed within established department goals. Reports status and progress on all configuration projects to the Configuration Manager and Director.  Monitors Configuration staff assignments and assigns configuration projects to staff.  Ensures Partnership system configuration modifications and enhancements are accurate and completed within established department goals.

 Responsible for accurate maintenance of system configuration library and timely communication of changes to impacted Partnership departments for all assigned Partnership projects and programs.  Communicates and coordinates all system related changes with IT department.  Participates and assists in the preparation of materials for monthly interdepartmental configuration meeting.  Other duties as assigned.

 Performs other duties as assigned.  Provides backup support for Configuration staff functions.

Bachelor’s degree in related field preferred; prior supervisory experience in a claims environment; or equivalent combination of education and experience preferred; three (3) years of experience analyzing and configuring claims system; or equivalent combination of education and experience.

Knowledge of AMISYS Advance or similar claims payment system preferred.

Understanding of claims processing requirements and ability to translate into systems change and reporting requirements preferred.

Excellent analytical skills to rationally resolve complex policy and technical problems.

Excellent written and oral communication skills.

Ability to present statistical and technical data in a clear and understandable manner.

Ability to articulate technical concepts with both technical and non-technical vendors, peers, and trainers.

Excellent organization skills to work on multiple assignments simultaneously, prioritize work, and complete projects within established time frames.

Ability to use a computer keyboard.

More than 70% of work time is spent in front of a computer monitor.

Must be able to work in a fast paced environment and maintain courtesy and composure when dealing with internal or external customers.

When required, ability to move, carry, or lift objects of varying sizes, weighing up to 10 lbs.

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

$96,970.04 - $121,212.56

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform.

The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.