What you can expect!
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Under the direction of the Product System Configuration Manager, the Supervisor, Product System Configuration will lead a team of Configuration Analysts and Coders is responsible for managing the more complex system configurations within the Product System. The incumbent will directly supervise multiple analysts and oversee the day-to-day operations, including the delegation of duties, assignments, and projects to maintain timelines and inventory. The primary functions of this position include but are not limited to, enhancing efficiency and automation by developing new features and functionality to the Product System, codification of benefits, contracts, and the division of financial responsibility (DOFR), and translating business requirements into configurable technical specifications for the Business Systems. The Supervisor is independent and acts as a subject matter expert for the business areas and the Product Configuration team by leading the efforts related to complex system configuration. The incumbent will contribute to the system build efforts as well as maintain comprehensive documentation of business and technical specification requirements. The Supervisor will facilitate communication and formally report findings to various department heads and Chiefs in a manner that is appropriate to the skill level and technical expertise of the audience.
1. Configure and maintain complex product related system builds with multi-tiered functionality and interrelated system dependencies, including but not limited to Contracts, Benefits, Service Categories, Special Match Rules, Fee Schedules, and Modifier Reduction schedules
2. Responsible for tracking, testing, and approving new system functionality, enhancements, and defect fixes, including the development and execution of test plans and scripts
3. Manage daily activities, tasks, and processes for the Product System Configuration team
4. Develop and document configuration standards and best practice guides for maintaining efficiency, accuracy, automation and successful integration with internal and external systems and programs
5. Design and facilitate system training and development for configuration staff
6. Analyze and translate business specifications into detailed technical specifications based on system functionality and develop non-systematic workaround processes when necessary
7. Monitor mechanisms used for internal tracking of incoming requests and issue resolution, new development and system enhancement needs, and ensure staff compliance with tracking requirements outlined by the department
8. Monitor daily inventory and ensure compliance with established service level agreements and regulatory timelines
9. Assist Contracting team with drafting appropriate contract fee schedule language to be in line with system adjudication capabilities
10. Develop and maintain internal policies and procedures for Product System Configuration activities and processes
11. Establish minimum standards and skill sets for staffing and ensure that substandard performance is appropriately and formally addressed
12. Ensure work-from-home staff work tracking logs are completed accurately and in a timely manner
13. Maintain process for quality assurance review of completed configuration to ensure that business and technical specifications are met and do not produce any unexpected and/or undesirable outcomes
14. Apply LEAN/A3 methodologies to business process and system configuration design and development
15. Other duties as assigned, including but not limited to Department Projects and LEAN/A3 Events
Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
Education & Experience
Key Qualifications
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