Claims System Configuration Director

Job Summary

A company is looking for a Director of Claims System Configuration.

Key Responsibilities

• Lead the setup and maintenance of employer group system configurations to ensure accurate claims processing
• Supervise department personnel, including hiring, training, and performance management
• Develop and maintain configuration standards and documentation to ensure scalability and repeatability

Required Qualifications

• Bachelor's degree in healthcare administration or related field (Master's preferred)
• 7-10 years of experience in health plan configuration or claims system setup
• 5+ years of leadership experience in system configuration or benefit operations
• Experience in building new configuration platforms or leading system migrations
• Knowledge of regulatory requirements such as ACA, ERISA, and HIPAA