Director, Configuration

About the role

The Director, Configuration provides strategic leadership and direction for the organization’s benefit configuration and claims platform operations across all core systems. This role is accountable for the multi-year configuration roadmap, ensuring scalability, quality, compliance, and operational excellence while enabling growth and superior client and member experiences.

Responsibilities

• Define and execute the multi-year configuration strategy and roadmap to support organizational priorities, client needs, and platform evolution.
• Establish configuration standards, naming conventions, and quality benchmarks to ensure consistent, scalable builds across systems.
• Partner with leadership to forecast future-state requirements and guide investments in platform capabilities, automation, and data-driven decision-making.
• Lead and develop a high-performing team of Managers and Analysts across multiple locations; oversee workforce planning, succession planning, and leadership development.
• Set clear objectives, KPIs/OKRs, and performance metrics for the department; monitor results and adjust priorities to meet enterprise goals.
• Foster a culture of accountability, collaboration, and continuous improvement aligned with Versant Health’s leadership principles.
• Design and maintain governance frameworks for configuration processes, including policies, procedures, change control, and documentation standards.
• Ensure adherence to SOC controls, HIPAA, contractual SLAs, and regulatory requirements; maintain audit readiness and lead internal/external audit engagements and corrective action plans.
• Oversee risk identification, mitigation strategies, and root-cause analysis for configuration-related defects and incidents.
• Drive continuous improvement initiatives to streamline workflows, reduce cycle times, increase automation, and improve accuracy and first-pass yield.
• Author and approve business requirements for platform enhancements; coordinate with IT, Product, and vendors on solution design, development, and implementation.
• Oversee test strategy (e.g., UAT, regression, negative testing) internal to Configuration to ensure functional integrity, stability, and prevention of defects in production.
• Collaborate across Operations, IT, Product, Compliance, Reporting, Finance, and Network Development to integrate configuration strategy into enterprise initiatives.
• Support and lead special projects as assigned or necessary.

Requirements

• Bachelor's Degree Required
• Advanced degree preferred
• 10+ Years Progressive Experience in Healthcare Benefit Configuration or Claims System Administration Required
• 5+ Years Leadership Experience in a Managerial or Director-Level Capacity Leading Multi-Site Teams or Programs Required
• Advanced Knowledge of Medical/Vision Claims Adjudication, Benefit Structures, Medical Policy Administration, and Provider Reimbursement Methodologies Required
• Proven Experience Establishing Governance, Policies, and Controls in Regulated Environments (HIPAA, SOC); Strong Audit Readiness and Corrective Action Planning Required
• Demonstrated Success in Portfolio Management, Cross-Functional Leadership, Vendor Management, and Executive Reporting Required
• Proficiency in Microsoft Office Required; Proficiency with SQL Server Management Studio (SSMS) and Data Querying/Analytics Preferred
• Experience with Configuration Platforms Such as Plexis Claims Manager (PCM), HSP Meditrac, or Similar Systems Preferred

Qualifications

• N/A

Skills

• Strategic Leadership
• Team Management
• Compliance and Governance
• Operational Excellence
• Vendor Management
• Continuous Improvement

Benefits

• Medical, Dental, and Paid Vision Coverage
• Paid Time Off and Company Holidays
• Roth 401(k) with Company Match
• Pet Insurance
• No-Cost-to-You Vision Insurance for You and Your Qualified Dependents

Pay

$131,000.00 - $147,000.00 annually

Schedule

Full-time