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
