Manager, Configuration jobs in United States
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Versant Health · 6 hours ago

Manager, Configuration

Versant Health is one of the nation’s leading administrators of managed vision care, serving millions of clients’ members nationwide. The Manager, Configuration oversees the day-to-day operations and tactical execution of benefit configuration, ensuring compliance and operational excellence while leading a team of Configuration Analysts.

EyewearHealth CareInsurance
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H1B Sponsor Likelynote

Responsibilities

Provide day-to-day leadership, guidance, and support to Configuration Analysts, fostering a culture of accountability, collaboration, and continuous improvement
Oversee workforce planning, hiring, onboarding, and performance management for configuration staff in collaboration with the Director, Configuration
Monitor team workload and ensure timely execution of assigned tasks and projects
Ensure accurate build and maintenance of plan designs, provider reimbursement structures, medical policy structures, and claims payment methodologies
Translate configuration strategies into actionable plans and oversee execution to meet departmental SLAs and quality benchmarks
Coordinate and prioritize configuration projects, including new client implementations, regulatory updates, and system enhancements
Maintain adherence to regulatory and compliance requirements, including SOC controls and HIPAA standards
Support audit readiness and assist with internal/external audit activities
Implement quality assurance processes, including test plan development and defect prevention for system changes
Partner with IT, Operations, and Product teams to assess new business needs and recommend scalable configuration solutions
Serve as a subject matter expert for configuration during audits, client meetings, and enterprise initiatives
Support integration with third-party vendors and provider networks as needed
Identify opportunities for automation, process optimization, and system enhancements to improve efficiency and accuracy
Contribute to continuous improvement initiatives and recommend best practices for configuration workflows
Support and lead special projects as assigned or necessary
Perform other duties as assigned

Qualification

Healthcare benefit configurationClaims system administrationLeadership experienceMedical claims adjudicationRegulatory complianceMicrosoft OfficeSQL Server Management StudioConfiguration platformsProcess improvementCross-functional collaboration

Required

Bachelor's Degree
5+ years of experience in healthcare benefit configuration or claims system administration required
3+ years of leadership experience managing teams or projects required
Advanced knowledge of medical claims adjudication, benefit structures, and provider reimbursement methodologies required
Familiarity with regulatory requirements (HIPAA, SOC controls) and audit processes required
Strong working knowledge of Microsoft Office required

Preferred

Advanced degree preferred
Familiarity with SQL Server Management Studio (SSMS) and data querying preferred
Experience with configuration platforms such as Plexis Claims Manager (PCM), HSP Meditrac, or similar systems preferred

Benefits

Health and dental insurance
Tuition reimbursement
401(k) with company match
Pet insurance
No-cost-to-you vision insurance for you and your qualified dependents

Company

Versant Health

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Versant Health offers eye health and vision care plan for members, clients, brokers, and eye care professionals.

H1B Sponsorship

Versant Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (3)
2023 (2)
2022 (6)
2021 (2)
2020 (5)

Funding

Current Stage
Late Stage
Total Funding
unknown
2020-09-17Acquired

Leadership Team

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Kia Lindsay
Chief People Officer
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Neelam Gor
Chief Clinical Officer
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Company data provided by crunchbase