Healthcare Configuration Lead – EDI & CMS

Ultipro; Henderson (NV); Hybrid; USD 100,000 - 135,000; Full time

Job summary

P3 Health Partners in the United States seeks a seasoned leader to supervise and coach a team responsible for core administrative system configuration, including EDI, provider data, benefits, and CMS reporting. You will guide staff to deliver high-quality configuration services and align them with our strategic vision.

This role offers hybrid or fully remote work with on-site three days per week for nearby offices; salary range is $100,000-$135,000 depending on experience.

Qualifications

• Leads and coaches staff in configuring core admin system components such as EDI, provider data, health plan benefits, and member eligibility.
• Manages performance, conducts reviews, and implements corrective actions as needed.
• Has knowledge of CMS guidelines, CPT/HCPCS/ICD-10 coding, and CMS EDI protocols.

Responsibilities

• Coordinate daily/weekly/monthly team activities to meet performance goals.
• Respond to configuration escalations and provide expert support.
• Develop and align staff to deliver configuration services.
• Document status and communicate with stakeholders.
• Lead strategic vision for the configuration function and future-state scenarios.

Skills

Team leadership

Coaching & feedback

Healthcare IT knowledge

MS Office proficiency

CMS/Electronic data interchange

Strategic leadership

Education

High school diploma

Bachelor's degree preferred

Tools

EDI systems

CMS reporting

Job description

P3 Health Partners in the United States seeks a seasoned leader to supervise and coach a team responsible for core administrative system configuration, including EDI, provider data, benefits, and CMS reporting. You will guide staff to deliver high-quality configuration services and align them with our strategic vision.

This role offers hybrid or fully remote work with on-site three days per week for nearby offices; salary range is $100,000-$135,000 depending on experience.