Senior Manager of Healthcare Systems Configuration

3 days ago


New York, New York, United States Innova solutions Full time
Job Description:
Innova Solutions is seeking an experienced Senior Manager of Healthcare Systems Configuration to join our team in Manhattan, NY. As a key member of our healthcare technology division, you will be responsible for evaluating operation processes and procedures to improve the efficiency of healthcare insurance core applications.

About the Role:
The Senior Manager of Healthcare Systems Configuration will work closely with our clients to identify areas for process improvement and develop strategies to optimize their systems. This includes collaborating with provider contracting, credentialing, claims operations, utilization management, and network management teams to ensure accuracy of payments processing. Additionally, the successful candidate will oversee the development and implementation of short-term and long-term business objectives, direct and support initiatives to focus on projects with plan-wide benefits, and manage activities and communications between key business stakeholders and core system vendors.

Requirements:
To be successful in this role, you will need a Bachelor's degree from an accredited college or university and a minimum of 10 years of experience in healthcare systems, process improvement, project management, or system configuration. Project management and staff supervision are also highly desirable. Familiarity with HealthEdge System for claim processing is a plus. The ideal candidate will have extensive knowledge of contracts, claims processing, and nuances around Medicare advantage, CMS, etc.

Salary and Benefits:
We offer a competitive salary range of $120,000 - $180,000 per year, depending on experience. Our comprehensive benefits package includes medical, dental, and vision insurance, 401(k) matching, and generous paid time off. Innova Solutions is committed to providing a dynamic and inclusive work environment where employees can grow and thrive.

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