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About HealthEdge
HealthEdge® is trusted to provide the technology and services that power health plans’ most important value streams. With an integrated platform of solutions spanning claims administration, quality improvement, prospective payment accuracy, provider network management, care management, member engagement and risk adjustment, HealthEdge enables health plans to converge their data so they can harness automation and the promise of AI. Combining this next-gen technology with services and expertise gives health plans unmatched capabilities to deliver a future of frictionless and cost-effective healthcare experiences. For more information, visitwww.HealthEdge.com.

The Director, Configuration Implementation is responsible for managing multiple implementation teams, ensuring alignment with project objectives and client expectations. The selected candidate will monitor progress, provide strategic feedback, and address key issues. This individual will also cultivate client relationships, drive successful project outcomes, and ensure seamless transitions to support teams.

• Lead customer discovery sessions and requirement workshops with health plan stakeholders
• Support sales cycles including but not limited to RFP responses, Statement of Work and proof-of concept development
• Develop resource (FTE) estimates and financial projections for implementation
• Lead, mentor and supervise multiple implementation teams, ensuring alignment with project goals and client expectations
• Monitor the progress of implementation projects to ensure the teams meet critical milestones and deliverables
• Establish and cultivate strong relationships with client leadership to drive successful project outcomes and serve as a primary point of escalation when necessary
• Provide guidance to teams on the product and deliver effective solutions to complex issues, ensuring timely problem resolution
• Spearhead innovation by architecting process solutions across HealthRules Payor modules to develop scalable, reusable configuration accelerators
• Evaluate post-implementation reviews to assess project success and identify opportunities for continuous improvement
• Support the transition of all implementation projects to the ongoing support teams, ensuring a seamless handover and continued support
• Collaborate with cross-functional teams to enhance configuration outcomes and drive continuous improvement
• Should be flexible in work roles and hours
• Must be able to travel

• Bachelor’s degree in computer science, Business Administration, Healthcare Administration, or related field preferred
• Must have Leadership and Mentorship experience
• Minimum of 8 years hands‑on HealthRules Payor configuration experience
• High proficiency in multiple HealthRules Payor components including but not limited to Pricing, Benefits, Claims, Utilization Management.
• Minimum of 10 years total experience in healthcare claims processing or health plan operations
• Proficiency in one or more third‑party claims pricers and/or claims editing solutions
• Proven track record of successful large‑scale HealthRules Payor implementations
• Must have experience working with customers
• Previous consulting experience

HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. We aspire to have an inclusive workplace. We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers.

Geographic Responsibility: While HealthEdge is located in Boston, MA you may live anywhere in the US
Type of Employment: Full‑time, permanent

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

• The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
• Work across multiple time zones in a hybrid or remote work environment.
• Long periods of time sitting and/or standing in front of a computer using video technology.
• May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre‑employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

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The annual US base salary range for this position is $180,000 to $200,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.