Supervisor of Configuration

Overview

The Supervisor of Configuration provides frontline leadership and oversight of configuration andsystem change activities supporting claims adjudication, case management, and related healthplan systems relevant to the assigned area(s) of responsibility within the ConfigurationDepartment.This role is responsible for supervising the day-to-day execution of configuration work, ensuringaccuracy, compliance, and adherence to established governance standards. The Supervisormaintains the accuracy and completeness of configuration projects and programs in alignmentwith organizational policies, contract regulations, and State of California Medi-Cal requirements,while supporting implementation, testing, and coordination of system changes.The Supervisor translates departmental priorities into actionable work plans, provides leadershipand coaching to staff, and supports quality assurance within the department. This positionpartners closely with the Manager of Configuration and cross-functional stakeholders to ensuresystem changes are implemented efficiently, compliantly, and with appropriate documentationand communication. 

Responsibilities

Essential Duties and Responsibilities

▪ Leadership & Team Supervisiono Provides direct supervision to configuration line staff, including assigning work,monitoring productivity, and ensuring quality standards are met.o Delivers coaching, training, and performance feedback to support staffdevelopment and engagement.o Assists with hiring, onboarding, and workforce planning to meet operationalneeds.o Serves as the first point of escalation for team-level issues, workload challenges,and system concerns.o Promotes a culture of accountability, collaboration, and continuous improvement.▪ Configuration & Change Management Executiono Oversee the execution of configuration updates and system changes in accordancewith established processes and governance standards.o Ensures configuration changes are properly documented, tested, and implementedfollowing department standard workflows and procedures.o Supports change intake, tracking, and workflow coordination.

o Monitors team adherence to change management lifecycle steps, includingdocumentation and approvals.▪ Quality Assurance & Compliance Supporto Ensures configuration activities meet regulatory requirements, includingContractual Agreements and/or Medi-Cal, CMS, and Medicare guidelines.o Supports audit readiness by maintaining accurate, traceable, and completeconfiguration documentation.o Participates in validation activities, including testing and post-implementationreviews.o Identifies and escalates potential compliance risks or quality issues.▪ Process Adherence & Continuous Improvemento Enforces established Configuration Department policies, procedures, andstandards as defined by leadership.o Identifies operational inefficiencies and recommends process improvements.o Supports implementation of process enhancements and standardization efforts.o Ensures consistent use of tools, templates, and workflow systems.o Reinforces standardization and continuous improvement initiatives as defined byleadership.▪ Cross-Functional Collaborationo Coordinates with internal stakeholders including IT, EDI, Operations, and Claimsto support configuration activities.o Communicates status updates, timelines, and issues to the Manager and relevantstakeholders.o Assists in resolving configuration-related issues and system defects.▪ Reporting & Operational Supporto Tracks team performance metrics related to productivity, accuracy, andturnaround times.o Prepares operational reports and summaries, as required, for review by leadership.o Assists in maintaining a productive work environment and monitoring workloadtrends.o Supports department initiatives, system implementations, and operational goals.

Secondary Duties and Responsibilities

▪ Performs other duties as assigned.▪ Provides backup support for Configuration Specialist staff functions as needed▪ Assists in training coordination and knowledge sharing within the team.

Qualifications

Education and Experience

Bachelor’s degree in Computer Science, Healthcare Administration, orrelated field preferred; Minimum three (3) years of experienceanalyzing and configuring claims systems; Prior supervisory or teamlead experience preferred; Equivalent combination of education andexperience may be considered.

Special Skills, Licenses and Certifications

Strong working knowledge of claims processing and editing systems,including Health Rules Payer, CES, or similar platforms, with theability to configure and troubleshoot system issues. Solidunderstanding of claims adjudication processes and requirements,translating business and regulatory needs into system configurations,enhancements, and reporting outputs. Experience with caremanagement systems (e.g., JIVA or similar), including understandingof data flow and integration with claims operations. Knowledge ofMedi-Cal managed care and CMS/Medicare regulations, ensuringcompliance through accurate configuration and ongoing monitoring.Experience utilizing workflow and tracking tools (e.g., JIRA,Workfront) to manage assignments, prioritize tasks, and meet projectdeadlines. Proficiency in Business Intelligence and reporting tools(e.g., Business Objects or similar), supporting data analysis, auditing,and operational reporting. Advanced proficiency in Microsoft OfficeSuite (Excel, Word, Outlook), including data manipulation, reporting,and documentation. Strong written and verbal communication skills,with the ability to collaborate across teams and clearly documentrequirements and solutions. Ability to work independently while alsosupporting team initiatives, including mentoring junior staff andcontributing to process improvements

Performance Based Competencies

Strong attention to detail and commitment to data accuracy. Ability tomanage competing priorities in a demanding environment. Effectiveproblem-solving and decision-making skills. Ability to interpretbusiness requirements, ensure compliance, and translate technicalconcepts for both technical and non-technical audiences. Strongcollaboration and interpersonal skills. Demonstrated ability to lead,coach, and develop team members.

Work Environment And Physical Demands

Ability to use a computer keyboard. More than 70% of work time isspent in front of a computer monitor. Must be able to maintain focusand accuracy in a fast paced environment and maintain courtesy andcomposure when dealing with internal or external customers. Ability tocommunicate effectively with internal and external stakeholders. Whenrequired, ability to move, carry, or lift objects of varying sizes,weighing up to 10 lbs.

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$96,970.04 - $121,212.56

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.