Configuration Manager

Job TitleThe main functions of this position are responsible for leading, coaching and guiding staff that implement, support, and maintain the core administrative system configuration including but not limited to: EDI transactions, provider, health plan benefits and member eligibility data, encounters submissions and reconciliations, CMS/health plan claim reporting, internal claim reporting and data entry. This role will be responsible for continuing to enhance the vision, value proposition, services for the configuration function and develop and align the staff in place to deliver against these services.Essential FunctionsCoordinate and supervise daily/weekly/monthly activities of a team members including setting priorities for the team to ensure task completion and performance goals are metRespond configuration escalationsProvide coaching, feedback, and annual performance reviews as well as formal corrective actionManage inventory and performance to business metricsWrite and Submit P&P update requestsProvide expertise or general system configuration support to team in reviewing, researching, investigating, system configurationSupport team employee engagementCommunicate and collaborate with internal and external business partnersDocument and communicate status of system configuration to stakeholders as neededAchieve applicable performance metrics (productivity, quality, TAT, utilization)Advanced problem solving, critical thinking, and process analysis skills to lead teams responsible for client configurationUnderstanding of the healthcare industry, including competitors, the regulatory environment, and industry trendsAbility to provide strategic leadership and demonstrate the ability to develop future-state scenarios, create a vision for the future, defines factors needed to achieve success, and key actions required.Demonstrated leadership skills having lead configuration activity or function, knowledgeable about configuration best practices, methodologies and toolsOther tasks assigned by managerKnowledge, Skills and AbilitiesMust have a strong understanding of any local, state and federal rules regarding the adjudication of medical benefitsStrong organizational and time management skills with the ability to prioritize individual workloads.Proficient in MS Office with strong computer skills (e.g. multiple systems experiences, keyboarding skills, Microsoft word, Power Point)Strong knowledge of CPT, HCPCS, ICD-10, DRG and APC coding and CMS Guidelines.Ability to drive performance managementAbility to interpret electronic data interchange preferredKnowledge of CMS EDI file and submission protocolsKnowledge of CMS claim reporting: ODAG and Part CExperience+ 6 years health care administration operational experience5 years of health care operations and health care system configuration knowledgeExperience managing at least six direct reportsExtensive experience in plan building, provider data maintenance and reimbursement methodologies including fee schedules, contract management and workflow processes.Experience analyzing and identifying trends preferredEducationHigh school diploma or GED requiredBachelor's degree preferredWork Location & ScheduleThis role offers a hybrid work arrangement. Candidates will follow our hybrid schedule, working in office three days per week.Pay range: $100,000-135,000 depending on experienceAbout P3People. Passion. Purpose.At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization, then you should consider joining our team.