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Director of System Configuration (Closed)

Date Posted: 6/24/2020

Job #1575056
Dayton, Ohio

Lucas Group has partnered with a growing organization in the Dayton, OH area seeking a Director of System Configuration for their Facets Operational Team. 

Key Responsibilities:

-Lead the analysis, design, development, testing and implementation of the company’s Facets and clinical editing systems; provide application support during advanced stages of implementation

- Direct and lead configuration activities of a highly technical team by providing coaching and mentoring with a focus on quality, efficiency and collaboration; provide guidance in resolving technical issues

 -Direct database configuration activities intended to modify and enhance the company operational database; activities include database set-up of product benefits, fee schedules, claims edits, provider agreements and claims processing rules

 -Lead automation and upgradation efforts for Facets and clinical editing systems

 -Responsible for proactive analysis of internal operational, service and performance metrics, and proactively initiate performance improvement activities across the organization to achieve service and satisfaction goals    

-Create technical design and provide technical oversight to ensure the proper architecture and product performance is delivered; create architectural design and technical design documents

 - Ensure appropriate approvals, testing, implementation controls and validation occur relative to new or modified records and files     

-Develop and maintain departmental policies, procedures and controls to ensure the integrity of the files, including HIPAA compliance

-Initiate and implement automated solutions to ensure optimal data quality

 -Ensure compliance with Model Audit Rules, State, Federal and Accrediting Agencies for all elements related to systems configuration data and processes

Key Requirements:

-Bachelor’s degree or equivalent years of relevant work experience is required, Master’s degree preferred.

-5+ years of health plan business or systems solutions experience is required with 3+ years of management

-Facets experience is a MUST

-High level of database and systems development knowledge

-Ability to translate business requirements into technical specifications

-Ability to manage and prioritize multiple tasks, promote teamwork and fact-based decision

 -Strong team and staff development skills

-Strong collaboration and conflict resolution skill sets

 -Proven leadership with the ability to build relationships, collaborate and influence at all levels

 -Strong process and analytical skills with the ability to articulate and define outcome measures that capture key performance metrics

- Strong decision making and problem-solving skills

 -Exceptional written and verbal communication skills with the ability to present information in a variety of different formats to all levels with professionalism