Claims Configuration Jobs (NOW HIRING)

Manager, Configuration
Manager, Configuration
Who are we?
Versant Health is one of the nation's leading administrators of managed vision care, serving millions of our clients' members nationwide. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and vision.
As a Versant Health associate, you can enjoy a comprehensive Total Rewards package, which includes 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. We are also invested in your success. There are many opportunities for advancement and development throughout all stages of your career with us.
See how you can make a difference with the support of strong leadership and a team environment.
See Everything, Be Anything™
What are we looking for?
The Manager, Configuration oversees the day-to-day operations and tactical execution of benefit configuration across the organization's core claims platforms. This role ensures accurate and timely implementation of plan designs, fee schedules, and payment methodologies while maintaining compliance with regulatory and audit standards. The Manager leads a team of Configuration Analysts, drives operational excellence through process improvements, and partners cross-functionally to support client implementations, system enhancements, and departmental goals. Acting as a key liaison between business and technical teams, the Manager translates configuration strategies into actionable plans and ensures delivery against established SLAs and quality benchmarks.
Where you will have an impact
Team Leadership & Operational Oversight
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.
Configuration Execution
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.
Compliance & Quality Assurance
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.
Cross-Functional Collaboration
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.
Process Improvement
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.
Other Duties
Support and lead special projects as assigned or necessary.
Perform other duties as assigned.
What's necessary to do the job?
Education
Bachelor's Degree
Required
Notes: Advanced degree preferred.
Experience
5 Years
Required
Notes:
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; 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
Licenses and Certifications
N/A
Preferred/Required
Notes:
HIPAA & Security Requirements
All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company's Privacy & Security Training Program.
Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.
We offer a comprehensive and competitive total rewards package designed to support your health, financial well-being, and work-life balance. Benefits include medical, dental, and paid vision coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond.
This role is compensated through a fixed annual salary. The expected salary range for this position is $95,000.00 - $116,000.00 annually, based on role scope, experience, and market considerations. This position is not eligible for bonus or incentive compensation.
Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.