Director – Configuration Implementation
HealthEdge
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $180,000 - $200,000 per year
Job Level
Lead
About the role
- Lead customer discovery sessions and requirement workshops with health plan stakeholders
- Support sales cycles including but not limited to RFP responses, Statement of Work and proof-of concept development
- Develop resource (FTE) estimates and financial projections for implementation
- Lead, mentor and supervise multiple implementation teams, ensuring alignment with project goals and client expectations
- Monitor the progress of implementation projects to ensure the teams meet critical milestones and deliverables
- Establish and cultivate strong relationships with client leadership to drive successful project outcomes and serve as a primary point of escalation when necessary
- Provide guidance to teams on the product and deliver effective solutions to complex issues, ensuring timely problem resolution
- Spearhead innovation by architecting process solutions across HealthRules Payor modules to develop scalable, reusable configuration accelerators
- Evaluate post-implementation reviews to assess project success and identify opportunities for continuous improvement
- Support the transition of all implementation projects to the ongoing support teams, ensuring a seamless handover and continued support
- Collaborate with cross-functional teams to enhance configuration outcomes and drive continuous improvement
- Should be flexible in work roles and hours
- Must be able to travel
Requirements
- Bachelor’s degree in computer science, Business Administration, Healthcare Administration, or related field preferred
- Must have Leadership and Mentorship experience
- Minimum of 8 years hands-on HealthRules Payor configuration experience
- High proficiency in multiple HealthRules Payor components including but not limited to Pricing, Benefits, Claims, Utilization Management
- Minimum of 10 years total experience in healthcare claims processing or health plan operations
- Proficiency in one or more third party claims pricers and/or claims editing solutions
- Proven track record of successful large-scale HealthRules Payor implementations
- Must have experience working with customers
- Previous consulting experience
Benefits
- HealthEdge commits to building an environment and culture that supports the diverse representation of our teams
- We aspire to have an inclusive workplace
- We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
HealthRules Payor configurationPricingBenefitsClaimsUtilization Managementthird party claims pricersclaims editing solutionsproject managementfinancial projectionsresource estimation
Soft skills
LeadershipMentorshipCommunicationRelationship buildingProblem resolutionCollaborationFlexibilityInnovationGuidanceSupervision