Head of Configuration Center of Excellence

Medica Services Company LLC

Minnetonka (MN)

On-site

USD 100,000 - 172,000

Full time

14 days+

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Job summary

Medica is seeking a Manager, Configuration Center of Excellence to lead a team of Business Analysts and Quality Auditors, ensuring quality, governance, and scalable configuration delivery. The role includes audit oversight, claims impact analysis, process improvement, and strategic COE development.

Collaboration with multiple functions is essential. The position is office-based with on-site work, located in Minnetonka, MN, and offers a broad total rewards package.

Qualifications

  • Bachelor's degree or equivalent with 5+ years in healthcare operations, config, QA, or related field.
  • 2+ years of people leadership experience.
  • Experience within healthcare payer operations and configuration functions is preferred.

Responsibilities

  • Lead configuration quality, auditing, and governance across the COE.
  • Oversee claims impact, retroactive configuration changes, and risk controls.
  • Drive continuous improvement in work intake, prioritization, and visibility.
  • Develop training materials, onboarding, and knowledge management.
  • Provide project support and define requirements for initiatives.
  • Lead the COE team and align goals with leadership.
  • Partner with Configuration Delivery, IT, Claims, Compliance, and Audit teams.

Skills

Healthcare payer operations
Governance frameworks
Requirements management
Project facilitation
Quality assurance
Stakeholder management
Leadership
Configuration delivery
Auditing

Education

Bachelor's degree or higher in Business Administration / MIS / IT / Healthcare Administration

Tools

HealthRules Payor
GuidingCare

Job description

Medica is seeking a Manager, Configuration Center of Excellence to lead a team of Business Analysts and Quality Auditors, ensuring quality, governance, and scalable configuration delivery. The role includes audit oversight, claims impact analysis, process improvement, and strategic COE development.

Collaboration with multiple functions is essential. The position is office-based with on-site work, located in Minnetonka, MN, and offers a broad total rewards package.

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