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HealthEdgeHE

Manager, Configuration - Implementation

HealthEdge empowers healthcare payers through innovative SaaS solutions, driving a digital transformation in healthcare.

HealthEdge

Employee count: 1001-5000

Salary: 100k-125k USD

United States only

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Overview

About HealthEdge HealthEdge® is trusted to provide the technology and services that power health plans’ most important value streams. With an integrated platform of solutions spanning claims administration, quality improvement, prospective payment accuracy, provider network management, care management, member engagement and risk adjustment, HealthEdge enables health plans to converge their data so they can harness automation and the promise of AI. Combining this next-gen technology with services and expertise gives health plans unmatched capabilities to deliver a future of frictionless and cost-effective healthcare experiences. For more information, visit www.HealthEdge.com.

Position Overview:

We are searching for a highly motivated and experienced Manager of Configuration – Implementation to join our growing team. In this leadership role, you will oversee a team of configuration analysts—both onshore and offshore—to ensure the successful delivery of a fully configured HealthRules system. You will be responsible for aligning implementation efforts with company standards and ensuring all project milestones and goals are met.

Your Impact:

  • Play a leadership role to support and drive active implementation initiative, which will be client facing as well as working with other areas in the organization.
  • Play a key role in advising clients on their business problems as a Subject Matter Expert (SME).
  • Responsible for ensuring implementations are delivered successfully on time, and in alignment with project objectives by monitoring progress, identify risks and mitigation strategies, as needed.
  • Collaborate with cross-functional teams to support seamless project execution.
  • Lead and mentor a geographically distributed team (onshore and offshore), providing guidance, support, and resolution of complex issues to ensure high-quality deliverables and continuous professional development.

What You Bring:

  • Bachelor's degree in a related field required
  • Must have 4+ years of experience/knowledge of HealthRules Payor, a claims processing system
  • Must have experience in implementing one or more line of business – Medicare, Medicaid, and/or Commercial, Self-funded etc.
  • Experience working in an offshore model is required
  • Demonstrate strong analytical and problem-solving skills to identify root causes and implement effective solutions
  • Demonstrate eagerness to learn and the ability to adapt quickly in a dynamic, fast-paced environment
  • Excellent communication skills and presentation skills including the ability to convey business requirements/configuration effectively
  • Detail oriented
  • Good communication skills
  • Self-starter
  • Microsoft Word, PowerPoint, Excel and Visio
  • Experience with Agile tools and methodologies including JIRA and SCRUM

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.

Geographic Responsibility: While HealthEdge is located in Boston, MA you may live anywhere in the USType of Employment: Full-time, permanent

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

  • The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
  • Work across multiple time zones in a hybrid or remote work environment.
  • Long periods of time sitting and/or standing in front of a computer using video technology.
  • May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

**The annual US base salary range for this position is $100,000 to $125,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.

About the job

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Job type

Full Time

Experience level

Manager

Salary

Salary: 100k-125k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About HealthEdge

Learn more about HealthEdge and their company culture.

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HealthEdge® was founded in 2005 to deliver a next-generation Core Administrative Processing System – one that would not only increase accuracy and efficiency but also enable health plans to innovate and bring new lines of business to market swiftly. Our flagship product, HealthRules® Payer, has quickly gained acceptance and has positioned HealthEdge as a leader in digital transformation for healthcare payers.

Today, HealthEdge’s suite of cloud-based solutions enables health plans to thrive amidst the complexities of the healthcare landscape. We empower payers through increased operational efficiency, enhanced member engagement, and streamlined claims processing. Our goal is to drive down administrative costs while improving quality and patient outcomes, thereby creating a healthcare model that is sustainable for the future. By adopting our solutions, organizations can successfully transition into digital payers, ensuring compliance and efficiency in a rapidly evolving market.

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HealthEdge

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