Manager, Configuration – Implementation

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HealthEdge

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Healthcare Insurance • SaaS • Fintech

HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.

1001 - 5000 employees

Founded 2005

⚕️ Healthcare Insurance

☁️ SaaS

💳 Fintech

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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.