Configuration Manager - Health Care
Company: P3 Health Partners
Location: Henderson
Posted on: January 22, 2023
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Job Description:
P3 Health Partners is committed to ensuring the health and
safety of our team members, patients and communities we serve. As a
part of this commitment, all candidates must receive their COVID-19
vaccine prior to joining the team. If you have any questions about
our interview and hiring procedures, please contact . People.
Passion. Purpose.At P3 Health Partners, our promise is to guide our
communities to better health, unburden clinicians, align incentives
and engage patients.We are a physician-led organization relentless
in our mission to overcome all obstacles by positively disrupting
the business of health care, transforming it from sickness care
into wellness guidance.We are looking for a Health Care System
Configuration Manager. If you are passionate about your work; eager
to have fun; and motivated to be part of a fast-growing
organization in Las Vegas, Nevada, then you should consider joining
our team.Configuration ManagerThe main functions of this position
are leading, coaching, and guiding analysts that configure,
support, and maintain the core administrative system that processes
medical claims and authorizations including but not limited to: EDI
transactions, provider and member data, encounters, CMS/health
plan, internal reporting, benefits, and data entry. This role will
be responsible for continuing to enhance the vision, value
proposition, services for the configuration function and develop
and align the staff in place to deliver against these
services.Education:High school diploma or GED required + 6 years
relevant work experienceBachelor's degree preferredKnowledge,
Skills and Abilities:Required Skills:Must have a strong
understanding of any local, state, and federal rules regarding the
adjudication of medical benefitsStrong knowledge of CPT, HCPCS,
ICD-10, DRG and APC coding and CMS Guidelines.Strong organizational
and time management skills with the ability to prioritize
individual workloads.Proficient in MS Office with strong computer
skills (e.g. multiple systems experiences, keyboarding skills,
Microsoft word, Power Point)5+ years of health care system and
configuration knowledgeKnowledge of CMS reporting: ODAG and Part
C5+ years encounter submission experience3 to 5 years management
experience.Extensive experience in plan building, provider data
maintenance and reimbursement methodologies including fee
schedules, contract management and workflow processes.HMO Claims,
managed care and Medicare advantage experience required.Preferred
Qualifications:Experience analyzing and identifying trendsAbility
to interpret electronic data interchangeAbility to drive
performance managementEssential Functions:Coordinate and supervise
daily/weekly/monthly activities of a team members including setting
priorities for the team to ensure task completion and performance
goals are metRespond configuration escalationsProvide coaching,
feedback, and annual performance reviews as well as formal
corrective actionManage inventory and performance to business
metricsWrite and Submit P&P update requestsProvide expertise or
general system configuration support to team in reviewing,
researching, investigating, system configurationSupport team
employee engagementCommunicate and collaborate with internal and
external business partnersDocument and communicate status of system
configuration to stakeholders as neededAchieve applicable
performance metrics (productivity, quality, TAT,
utilization)Advanced problem solving, critical thinking, and
process analysis skills to lead teams responsible for client
configurationUnderstanding of the healthcare industry, including
competitors, the regulatory environment, and industry trendsAbility
to provide strategic leadership and demonstrate the ability to
develop future-state scenarios, create a vision for the future,
defines factors needed to achieve success, and key actions
required.Demonstrated leadership skills having lead configuration
activity or function, knowledgeable about configuration best
practices, methodologies, and toolsOther tasks assigned by
managerEqual Opportunity Employer/Protected Veterans/Individuals
with DisabilitiesThe contractor will not discharge or in any other
manner discriminate against employees or applicants because they
have inquired about, discussed, or disclosed their own pay or the
pay of another employee or applicant. However, employees who have
access to the compensation information of other employees or
applicants as a part of their essential job functions cannot
disclose the pay of other employees or applicants to individuals
who do not otherwise have access to compensation information,
unless the disclosure is (a) in response to a formal complaint or
charge, (b) in furtherance of an investigation, proceeding,
hearing, or action, including an investigation conducted by the
employer, or (c) consistent with the contractor's legal duty to
furnish information. 41 CFR 60-1.35(c)
Keywords: P3 Health Partners, Henderson , Configuration Manager - Health Care, Executive , Henderson, Nevada
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