Configuration Program Lead – Contracts
About The Position
The Configuration Program Lead - Contracts manages complex contract-related configuration initiatives within SCAN Health Plan, including DOFR, NCN, and other provider and network configuration requirements. The role translates contractual and operational requirements into accurate system configuration, coordinates implementation and testing activities, and partners with business and technical stakeholders to ensure configuration changes are implemented consistently and support operational and regulatory requirements. The role leads contract configuration activities, maintains governance and change-management practices, and identifies configuration risks and opportunities to improve, standardize, and automate processes. The position also supports SCAN’s vision and goals and may perform other duties as assigned.
Requirements
- Bachelor's degree or equivalent experience.
- Five years of experience in healthcare payer operations, health plan configuration, provider contract administration, network operations, claims administration, or a related field.
- Ability to interpret and translate complex contract, provider network, and operational requirements into accurate system configuration and business rules.
- Strong knowledge of configuration implementation, testing, validation, and change-management practices to ensure configuration accuracy and compliance.
- Ability to collaborate effectively with cross-functional stakeholders to resolve issues and achieve operational objectives.
- Strong analytical and problem-solving skills, including the ability to identify configuration risks, dependencies, process improvement opportunities, and automation solutions.
- Advanced Microsoft Office Suite, SQL, and Visio skills.
Nice To Haves
- Experience translating contractual and operational requirements into system configuration, coordinating testing and implementation activities, and partnering with cross-functional stakeholders to support accurate and compliant configuration processes.
Responsibilities
- Lead configuration activities associated with DOFR, NCN, and other contract-related requirements.
- Interpret approved contract terms and operational requirements and translate them into accurate system configuration.
- Coordinate implementation, validation, testing, and issue resolution for new or modified contract configuration.
- Partner with Network Management, Provider Operations, Claims, Legal, Compliance, IT, and other business partners to resolve configuration questions and discrepancies.
- Maintain governance, documentation, controls, and change-management processes for contract configuration.
- Identify configuration risks, dependencies, and opportunities for process improvement, standardization, and automation.
- Actively support the achievement of SCAN’s Vision and Goals.
- Perform other duties as assigned.
Benefits
- Annual employee bonus program
- Robust wellness program
- Generous paid time off (PTO)
- Eleven paid holidays per year, plus one floating holiday and one birthday holiday
- 401(k) retirement savings plan with employer match and contribution
- Employee recognition program
- Tuition reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
