Director, Configuration

Lead and develop a high-performing team of Managers and Analysts across multiple locations; oversee workforce planning, succession planning, and leadership 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; maintain audit readiness and lead internal/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 (e.g., 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.

Lead coordination of business requirements and consulting requests for configuration-related enhancements, ensuring alignment with current and future-state business needs.

Actively engage with designated claims platform vendors to review, validate, and approve configuration changes; oversee testing and implementation to ensure accuracy and compliance.

Establish and maintain robust vendor oversight and monitoring processes specific to configuration changes, 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.

What’s necessary to do the job?

Notes: Advanced degree preferred.

10+ years of progressive experience in healthcare benefit configuration or claims system administration required

5+ years of leadership experience in a managerial or director-level capacity leading multi-site teams or programs required

Advanced knowledge of medical/vision claims adjudication, benefit structures, medical policy administration, and provider reimbursement methodologies required

Proven experience establishing governance, policies, and controls in regulated environments (HIPAA, SOC); strong audit readiness and corrective action planning required

Demonstrated success in portfolio management, cross-functional leadership, vendor management, and executive reporting required

Proficiency in Microsoft Office required; proficiency 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

Licenses and Certifications

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.

As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times.

As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.

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

We offer a comprehensive and competitive total rewards package designed to support your health, financial well‑being, and work‑life balance.

include medical, dental, and paid vision coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities.

Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond.

This role is compensated through a base salary and is eligible for an annual performance‑based bonus.

The expected base salary range for this position is $131,000.00- $147,000.00 annually.

Bonus eligibility and payout are based on individual, team, and/or company performance, in accordance with the terms of the bonus program.

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 regards 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.