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Manager Business Configuration

Manager Business Configuration

General Summary:
Provide guidance and leadership to the Business Configuration team. Direct the application of policies and procedures to ensure results meet or exceeds all business requirements, quality and audit standards. Responsible for the execution and deployment of Facets configuration to support business objectives. Establish and maintain relationships with leadership and subject matter experts. Participate and influence discussions regarding the development of products, benefits, provider contracts and medical management policies. Open to hybrid/remote.

Principal Duties and Responsibilities:
• Develop and direct the execution of the Business Configuration Team (BCT) structure and processes to ensure service levels meet the needs and expectations of all business areas within HAP.
• Assess and achieve appropriate staffing levels, staff skill development and cross-training to support ongoing operations, project-related activities and meet established service level agreements.
• Responsible for hiring, performance management, compensation decisions, rewarding and recognizing employees, employee engagement and providing on-going, regular performance feedback.
• Maintain and establish quality standards, adhere to compliance requirements, and participate in audits as needed.
• Lead team through change, demonstrate flexibility and foster environment where team members perform to the best of their abilities.
• Partner with Information Technology, the Testing Center of Excellence, and business areas to ensure the accurate deployment of configuration that supports daily operations, new releases of Facets and minimizes/eliminates configuration errors
HAP Pay Code: M07

Education Required:
• Bachelor’s degree in business management discipline or related field
• Related and relevant experience may be considered in lieu of academic requirements. Related experience is defined as six (6) years’ experience in Health Care related business and/or claims processing system configuration
Experience Required:
• Minimum of five (5) years of management experience or demonstration of management skills through work experience
• At least five (5) years’ experience with system configuration in a Healthcare Payer organization
• Health plan management knowledge
• At least five (5) years of experience in SQL and PL/SQL
• Proficiency in code review and error troubleshooting
• Experience in Production technical change control processes
• Knowledge of Facets Core and System Administration data structure
• Knowledge of SMT (Security Management Tool) and CMU (Configuration Migration Utility) and experience in customization of configuration migration processes
• Experience managing cross-functional teams with multiple areas of expertise
• Experience in vendor and interface file implementation
• Experience in complex Facets configuration reporting and data quality audit development

Experience Preferred:
• Knowledge of process management/improvement and Agile methodologies preferred
• Facets provider, group, product and accumulator configuration experience preferred

Expected Competencies:
• Nature of work requires excellent leadership, interpersonal communication, decision making, analytical and technical skills
• Must exhibit the ability to function in an autonomous manner in a rapidly changing environment
• Active listening, exceptional written and verbal communications skills are a must.
• Ability to lead the work of others
• Strong communication skills, both verbal and written
• Strong presentation skills
• Demonstrated ability to create strong working relationships with others
• Ability to gather, synthesize and analyze data and draw logical conclusions
• Strong project management experience
• Well organized and results-driven individual

Team Member Standards of Excellence:
Must meet or exceed core customer service responsibilities, standards and behaviors as summarized below:
• Display a positive attitude
• Take ownership and be accountable
• Offer open and constructive communication
• Respond in a timely manner
• Take pride in the system
• Respect and be sensitive to privacy/confidentiality
• Commit to team members
• Honor and respect diversity
• Maintain a clean and safe workplace environment

Leadership Competencies:
• Leadership - Listens and communicates effectively (Be Here Now). Coaches and mentors others. Motivates and inspires others. Has the courage to innovate. Is accessible to others. Rewards and recognizes the accomplishments of others. Demonstrates self-awareness and self-management.
• Accountability for Results and Execution - Is accountable for achieving desired results. Demonstrates confidence in decisions and executes without undue delay. Leads by example (Shadow of a Leader). Demonstrates integrity and ethical behavior. Encourages and embraces diverse cultures, ideas and opinions.
• Strategic Planning - Aligns individual/department/business unit goals and tactics with System goals. Translates strategies into goals and action plans. Keeps team informed about the strategic direction of the organization and everyone's role in achieving that vision. Eliminates silos or boundaries that impede local and System-wide strategy development, action plan implementation, and goal achievement (Systems Thinking).
• Member/Customer Focus - Models strong personal service excellence skills creating a "Lasting Impression" for our members and customers. Develops service skills in others and holds others accountable to uphold the HFH "Team Member Standards of Behavior." Creates an environment that "puts patients first by providing the quality of care and comfort we want for our families and ourselves." Seeks out and uses data from members and other customers in developing world-class processes and in continuous improvement efforts in service excellence.
• Performance Analysis and Knowledge Management - Demonstrates competence and credibility in area(s) of responsibility (i.e., technical, professional, and, if appropriate, clinical proficiency). Understands and interprets performance reports from all pillars to drive decision-making; uses data to evaluate the potential risk and returns on investment. Actively seeks and incorporates feedback and best practices from others to learn and improve. Shares knowledge with others to drive organizational improvement.
• Staff Focus - Creates a stimulating, rewarding and engaging work environment for team members. Puts the right people in the right role (or assigns the right tasks) at the right time. Encourages and challenges staff to take risks and be innovative. Supports and encourages the development of others; facilitates their personal growth and offers assistance. Celebrates achievements, contributions, and accomplishments. Demonstrates honesty and consistency in communications with staff. Create a collaborative culture by demonstrating a positive attitude and hopeful energy.
• Process Management and Focus on Safety - Sets expectations and targets that are aligned with system goals in the areas of member safety and quality. Seeks and practices continuous improvement of products, services and processes. Is an agent of change (e.g., challenges the status quo; suggests alternative solutions to challenging problems, supports others with change). Creates an environment where people feel "safe" to speak up and speak out about safety issues and/or inappropriate behaviors. Follows guidelines of local and System-wide quality and safety initiatives, such as the No Harm campaign. Models and strictly enforces personal safe practices (e.g., handwashing).
Additional Information
• Shift: Day Job

Time:  Full time
Salary:  Salary
Category:  Operations

Updated: 2/21/2023 2:19:04 PM