Leader, Product & Benefit Configuration

Job Description

Leader, Product & Benefit Configuration

Headquarters Office, 625 State Street, Schenectady, New York, United States of America

Rochester Office, 220 Alexander Street, Rochester, New York, United States of America

Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America Req #1029

Wednesday, January 26, 2022

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!

Status: Full-time, Exempt

Reporting to the Sr. Leader, Claims Payment Strategies and Configuration, the Leader, Product & Benefit Configuration manages the design, development and implementation of configuration solutions that enhance business processes. The Leader supervises the Clinical Editing team and a staff of Professional Configuration Analysts and Configuration Testing Analysts. The Leader will manage the work intake, prioritization, assignment and tracking of all projects and requests for the department. They are responsible for monitoring the quality of work produced within the department, implements or recommends creative solutions to ensure risks are mitigated proactively and that we meet internal and external customer needs.

In addition, the Leader is responsible to:

Ensure that all configuration solutions are adequately validated, tested prior to
implementation and automated when applicable.
Monitor progress and provide summary and trend reporting to senior leadership.
Identify, analyze, solve and/or escalate trends/issues surfacing within the department.
Oversee the management of the team including staffing, performance
evaluation, management of work assignments, goal setting, motivation, and other
management functions.
Serve as a department liaison with business users across the organization.
Promote initiatives for process improvement, re-engineering and innovative thinking.
Assist with management and implementation of corporate and departmental projects within the department.
Assist with the development/maintenance of department business process policies and procedures and ensures adherence from staff.
Performs other duties as assigned by management.

POSITION
QUALIFICATIONS

Minimum Education:

A four-year college degree, preferably in the field of Computer Science, Data Analytics or Information Systems or five or more years of relevant work experience within healthcare claims, products, systems configuration, or healthcare project management.

Minimum Experience :

Five or more years related professional experience; analytical, configuration, systems background. Experience managing staff and creating performance plans for employees highly desired. Experience with Facets system configuration preferred.

Required Skills:

Excellent organizational skills and ability to work independently
Strong written and verbal communication skills, including the ability to facilitate
meetings, effectively lead discussions, and prepare presentations to financial
and business leaders, including leadership
Ability to build and maintain effective working relationships with all levels of leadership
and staff
Self-starter with a high degree of initiative and follow-through

Positive attitude and strong team player with eagerness to learn and add value to the
organization
Advanced analytical and problem-solving skills to prioritize work and resolve issues
using sound judgment to improve processes and drive change
Capable of transferring knowledge to existing staff

About MVP
MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the EEO is the Law Poster and Supplement protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at [email protected]

Please apply and learn more - including how you may become a proud member of our team.

Other details

Job Family Claims/Operations
Pay Type Salary

Apply Now

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Headquarters Office, 625 State Street, Schenectady, New York, United States of America
Rochester Office, 220 Alexander Street, Rochester, New York, United States of America
Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America

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