Supervisor System Configuration

Description

Here at LIBERTY our FLOSSify is simple. Find good people and help them shine!

Under the direction of the Manager of System Configuration, the Supervisor of System Configuration is responsible for configuration of plan benefits, updates and changes. Manage daily activities, tasks, and processes of the System Configuration team, ensuring productivity and accuracy meet internal standards.

Job Summary Details

• Configures EMI’s claim payment system by creating or updating system logic, including, but not limited to, plan designs, accumulators, COB rules, covered providers, covered services, diagnosis codes and plan exclusions.

• Updates EMI’s claim payment benefit cross reference tables. This includes updating new CPT, HCPC, ADA, or Revenue codes.

• Manage daily activities, tasks, and processes of the System Configuration team, including but not limited to Perfect Claim pends, mass PCP member moves, issue intake and resolution, and contracted provider change requests.

• Develop and document configuration standards and best practice guides for maintaining efficiency, accuracy, automation and successful integration with internal and external systems and programs.

• Ensure accuracy by developing and analyzing routine quality control reports to identify provider configuration errors and training opportunities.

• Monitor mechanisms used for internal tracking of incoming requests and issue resolution, new development and system enhancement needs, and ensure staff compliance with tracking requirements outlined by the department.

• Monitor daily inventory and ensure compliance with established service level agreements and regulatory timelines.

• Develop and document configuration standards and best practice guides for maintaining efficiency, accuracy, automation and successful integration with internal and external systems and programs.

• Develop and maintain comprehensive system training regimen and documentation for provider configuration staff.

• Ensure accuracy by developing and analyzing routine quality control reports to identify provider configuration errors and training opportunities.

• Assists in maintaining all of the following in the claims payment system.

• Acts as a trouble- shooter between the IT staff and users.

• Defines and resolves system problems.

• Diagnoses problems relating to software interface.

• Other duties as assigned

Qualifications

Education/Experience

• High School Diploma required. Bachelor’s degree preferred.
• 6 years’ experience in PPO and HMO claims processing, billing, or auditing required.

Specific Skills/Knowledge

• Experience in major managed care system migration/implementation preferred.

• Working knowledge of Claims and overall data mapping.

• Ability to effectively delegate daily workload and constantly reassess staff priorities based on business needs.

• Ability to effectively manage multiple competing priorities.
• Proficiency with Microsoft Word, Excel, and Outlook
  • Please be prepared to complete online skills assessments as part of the application process.

Location

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.

What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. That’s why Liberty offers competitive and attractive benefit packages for their employees. We strive to care for employees in positive ways that promotes wellness and productive employees.

• Our first-class benefit package supports our employees and their dependents with:

• Competitive pay structure and saving options that help you reach your financial goals

• Excellent 401k retirement benefits available which includes employer match and ability to save via a Roth IRA, plus immediate vesting during Safe Harbor period and professional financial advice through Financial Engines!

• Medical insurance offered with low-cost premium for employee only coverage and Liberty subsidizes 50% of dependent coverage for eligible enrolled dependents.

• 100% employer paid dental coverage for employees and eligible dependents.

• 100% employer paid vision coverage for employee only coverage, low-cost premium for dependents!

• Company paid basic life and AD&D coverage; options to elect additional supplemental coverage.

• Long Term Disability coverage

• Expansive wellness program including companywide Get Active challenges and Burn-A-Long with option for gym discounts.

• Employee Assistance Program

• Generous vacation and sick leave with the ability to roll time over.

• 10 paid company holidays

• Tuition Reimbursement

• Remote or Hybrid options for various positions

• And so much more...

Compensation

In the spirit of pay transparency, we are excited to share the base salary for this position is $66,000 - $85,000, exclusive of fringe benefits or potential bonuses. If you are hired at Liberty, your final base salary compensation will be determined based on factors such as geographic location, skills, education, and/or experience. In addition to those factors – we believe in the importance of pay equity and consider internal equity of our current team members as a part of any, final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth.

Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture. 

Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. 

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time