Remote Contracts Configuration Lead – Healthcare Payer

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

Benefits offered by this job

Mostly Remote

Annual employee bonus program

Wellness program

PTO

11+ holidays + floating birthday

401(k) with employer match

Employee recognition program

Tuition reimbursement

Job summary

SCAN Health Plan is seeking a Configuration Program Lead – Contracts to translate contractual requirements into precise system configurations. You will coordinate testing, implementation, and validation across multiple stakeholders to ensure regulatory and operational compliance.

The role emphasizes process governance, change management, and collaboration with Legal, IT, Network Management, and Provider Operations.

Qualifications

• Bachelor’s Degree or equivalent experience.
• 5 years of experience in healthcare payer operations, health plan configuration, provider contract administration, network operations, claims administration, or a related field required.
• 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.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Skills

Analytical skills

Cross-functional collaboration

Problem-solving

Education

Bachelor’s Degree or equivalent experience

Tools

SQL

Visio

MS Office

Job description

SCAN Health Plan is seeking a Configuration Program Lead – Contracts to translate contractual requirements into precise system configurations. You will coordinate testing, implementation, and validation across multiple stakeholders to ensure regulatory and operational compliance.

The role emphasizes process governance, change management, and collaboration with Legal, IT, Network Management, and Provider Operations.