Contracts Configuration Lead - Remote/Hybrid

SCAN Group; United States; Remote; USD 92,000 - 134,000; Full time

Benefits offered by this job

Annual bonus

Wellness program

PTO

Holidays

Birthday holiday

401(k) matching

Employee recognition program

Tuition reimbursement

Mostly remote work

Job summary

SCAN Health Plan is seeking a Configuration Program Lead - Contracts to manage complex contract-related configuration initiatives (DOFR, NCN) and translate contractual requirements into accurate system configurations. The role collaborates across networks, operations, claims, legal, and IT to ensure compliant, tested implementations.

With a bachelor’s degree and 5 years in healthcare payer operations, you will drive governance, documentation, and change management while embracing innovation and

Qualifications

• Bachelor's degree or equivalent experience.
• 5 years of experience in healthcare payer operations or related field.
• Experience translating contractual and operational requirements into system configuration, coordinating testing and implementation activities, and partnering with cross-functional stakeholders to support accurate configuration processes.
• Ability to interpret and translate complex contract, provider network, and operational requirements into accurate system configuration and business rules.
• Strong knowledge of configuration implementation, testing, validation, and change management practices to ensure configuration accuracy and compliance.
• Ability to collaborate effectively with cross-functional stakeholders, including Network Management, Provider Operations, Claims, Legal, Compliance, IT, and business partners to resolve issues and achieve operational objectives.
• Strong analytical and problem-solving skills with the ability to identify configuration risks, dependencies, process improvement opportunities, and automation solutions.
• Advanced Microsoft Office Suite, SQL, and Visio skills are required.

Responsibilities

• Lead configuration activities associated with DOFR, NCN, and other contract-related requirements.
• Interpret approved contract terms and operational requirements and translate them into accurate system configuration.
• Coordinate implementation, validation, testing, and issue resolution associated with new or modified contract configuration.
• Partner with Network Management, Provider Operations, Claims, Legal, Compliance, IT, and other business partners to resolve configuration questions and discrepancies.
• Maintain governance, documentation, controls, and change-management processes for contract configuration.
• Identify configuration risks, dependencies, and opportunities for process improvement, standardization, and automation.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
• Actively support the achievement of SCAN's Vision and Goals.
• Other duties as assigned.

Skills

Healthcare payer operations

Contract configuration

Cross-functional collaboration

Analytical thinking

Problem solving

Education

Bachelor's Degree or equivalent experience

Tools

SQL

Visio

Microsoft Office

Job description

SCAN Health Plan is seeking a Configuration Program Lead - Contracts to manage complex contract-related configuration initiatives (DOFR, NCN) and translate contractual requirements into accurate system configurations. The role collaborates across networks, operations, claims, legal, and IT to ensure compliant, tested implementations.

With a bachelor’s degree and 5 years in healthcare payer operations, you will drive governance, documentation, and change management while embracing innovation and