Director, Configuration

Director – Configuration

Versant Health is a leading administrator of managed vision care serving millions of members nationwide. The Director of Configuration provides strategic leadership over the organization’s benefit configuration and claims platform operations, ensuring scalability, quality, compliance, and operational excellence.

Responsibilities

• Define and execute the multi‑year configuration strategy & roadmap to support organizational priorities, client needs, and platform evolution.
• Establish configuration standards, naming conventions, and quality benchmarks for consistent, scalable builds across systems.
• Partner with senior leadership across Operations, IT, Product, Compliance, Reporting, Finance, and Network Development to forecast requirements and guide investments in platform capabilities, automation, and data‑driven decision‑making.
• Lead, develop, and manage a high‑performing team of Managers and Analysts across multiple locations; oversee workforce planning, succession planning, and development.
• Set clear objectives, KPIs/OKRs, and performance metrics for the department; monitor results and adjust priorities to meet enterprise goals.
• Foster a culture of accountability, collaboration, and continuous improvement aligned with Versant Health’s leadership principles.
• Design and maintain governance frameworks for configuration processes, including policies, procedures, change control, and documentation standards.
• Ensure adherence to SOC controls, HIPAA, contractual SLAs, and regulatory requirements; lead internal and external audit engagements and corrective action plans.
• Oversee risk identification, mitigation strategies, and root‑cause analysis for configuration‑related defects and incidents.
• Drive continuous‑improvement initiatives to streamline workflows, reduce cycle times, increase automation, and improve accuracy and first‑pass yield.
• Author and approve business requirements for platform enhancements; coordinate with IT, Product, and vendors on solution design, development, and implementation.
• Oversee test strategy (UAT, regression, negative testing) internal to Configuration to ensure functional integrity, stability, and prevention of defects in production.
• Collaborate across Operations, IT, Product, Compliance, Reporting, Finance, and Network Development to integrate configuration strategy into enterprise initiatives.
• Serve as a senior client‑facing leader for strategic discussions, audits, operational checkpoints, and education; represent Versant Health in executive forums.
• Partner with Claims Operations and Clinical Operations to ensure alignment of policy administration, benefits, pricing, and payment methodologies.
• Coordinate business requirements and consulting requests for configuration‑related enhancements and engage with claims platform vendors to review, validate, and approve changes.
• Establish and maintain robust vendor oversight and monitoring processes, including documentation standards, quality checkpoints, and performance reporting.
• Collaborate with IT Product Owners and Vendor Management teams to ensure configuration priorities are represented in vendor roadmaps and system upgrade planning.
• Support and lead special projects as assigned or necessary.
• Perform additional duties as assigned.

Qualifications

• Education: Bachelor’s Degree required; advanced degree preferred.
• Experience: 10+ years of progressive experience in healthcare benefit configuration or claims system administration; 5+ years in a managerial or director‑level capacity leading multi‑site teams or programs.
• Advanced knowledge of medical/vision claims adjudication, benefit structures, medical policy administration, and provider reimbursement methodologies.
• Proven experience establishing governance, policies, and controls in regulated environments (HIPAA, SOC); strong audit readiness and corrective action planning.
• Demonstrated success in portfolio management, cross‑functional leadership, vendor management, and executive reporting.
• Proficiency in Microsoft Office; experience with SQL Server Management Studio (SSMS) and data querying/analytics preferred.
• Experience with configuration platforms such as Plexis Claims Manager (PCM), HSP Meditrac, or similar systems preferred.

Skills & Competencies

• Strategic thinking and long‑term planning.
• Leadership & talent development.
• Governance, risk management, and compliance.
• Process improvement and automation.
• Stakeholder collaboration across multiple functions.
• Vendor & third‑party integration.

HIPAA & Security Requirements

• All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures.
• Associates may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times and must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.

Benefits

• Health, dental, and vision insurance.
• Paid time off and company holidays.
• 401(k) with company match.
• Tuition reimbursement.
• Pet insurance.
• Paid visa coverage for employees and qualified dependents.
• Employee wellness resources and professional development opportunities.
• Flexible work arrangements and employee assistance programs.

Compensation

Base salary range: $131,000.00–$147,000.00 annually, plus annual performance‑based bonus eligibility.

Equal Employment Opportunity

Versant Health is a proud Equal Employment Opportunity and affirmative action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

Versant Health will never request money from candidates and will never ask for any payment as part of the recruitment process.