Manager Configuration

Hawaii Medical Service Association

Honolulu

JOB DETAILS
SKILLS
Accreditation Standards, Automation, Change Control, Configuration Management, Federal Laws and Regulations, Health Plan, Healthcare Providers, Healthcare Reimbursement, Lead Generation, Management Strategy, Mentoring, Policy Development, Policy Implementation, Process Improvement, Product Planning, Product Support, Quality Control, Regulations, State Laws and Regulations, Strategic Planning, Systems Administration/Management, Test Plan/Schedule, Training/Teaching, Validation Testing
LOCATION
Honolulu
POSTED
30+ days ago

Provide strategic management and direction for the configuration of health plan products provider networks and reimbursement methodologies to ensure alignment with business requirements state and federal regulations and accreditation standards.Develop and implement policies standards and governance frameworks for configuration accuracy quality control and compliance.Collaborate with external partners IT Claims Operations Provider Services Compliance and Product teams to ensure system configurations support new products regulatory changes and organizational initiatives.Lead testing validation and sign-off processes for new configurations system upgrades and change requestsDrive process improvements and automation opportunities to enhance configuration efficiency and reduce errors.Serve as a subject matter expert SME for configuration management providing training guidance and mentorship to internal and external team members and business stakeholders.Performs all other miscellaneous responsibilities and duties as assigned or directed.

About the Company

H

Hawaii Medical Service Association