Leader, Pricing & Claims Configuration

Leader, Pricing & Claims Configuration

Burlington Office, 62 Merchants Row, Williston, Vermont, United States of America Fishkill Office, 300 Westage Business Center Drive, Fishkill, New York, United States of America Headquarters Office, 625 State Street, Schenectady, New York, United States of America Rochester Office, 20 S.

Clinton Ave, Rochester, New York, United States of America Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America Virtual Req #2070 Wednesday, June 26, 2024 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!

Full-Time, Exempt

Position is virtual / remote

Reporting to the Sr. Leader, Claims Payment Strategies and Configuration, the Leader, Pricing & Claims Configuration manages the design, development and implementation of configuration solutions that enhance business processes.

The Leader supervises a staff of Professional Configuration Analysts and manages the work intake, prioritization, assignment and tracking of all pricing / claims configuration projects and requests.

In addition, the Leader is responsible to :

Manage the workflow and ensure solutions are delivered timely, accurately and meet the expectations

of internal and external customers’ needs.

• 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 Pricing Configuration 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 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.
• Perform other duties as assigned by management.

POSITION QUALIFICATIONS

Minimum Education :

4 year college degree, preferably in the field of Computer Science, Data Analytics or Information Systems or three or more years of relevant work experience within Healthcare and Systems Configuration.

Minimum Experience :

• 5+ years’ related professional experience; analytical, configuration, systems background.
• Experience managing staff required.
• Experience with Facets or other health care processing systems 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
30+ days ago