Job Information
CareSource Management Services LLC Supervisor Dayton, Ohio
Job Summary: The Director, Configuration Implementation will be responsible for leading the end-to-end implementation, configuration, and optimization of Facets and GuidingCare systems for a healthcare insurance company. This role requires deep expertise in payer platform configuration, system integration, and implementation strategy to ensure seamless deployment and operational efficiency. The Director will lead cross-functional teams, collaborate with key stakeholders, and drive best practices to enhance system functionality and business performance. Essential Functions: Oversee the full lifecycle of Facets and GuidingCare configuration implementations, including planning, execution, testing, and go-live support Define and drive implementation strategies, roadmaps, and timelines to ensure successful deployments that meet business objectives and ensure alignment of system configurations with regulatory requirements, business rules, and operational needs Lead the Facets and GuidingCare configuration team to design, build, and optimize system settings, benefit structures, provider contracts operationalization, and workflow automation Ensure best-in-class configuration practices, enabling scalability and flexibility to support evolving business needs Develop a governance model for configuration management, including version control, auditability, and span-based configurations Partner with IT, operations, compliance, provider relations, and claims teams to align system capabilities with business and regulatory needs Work closely with vendor partners to implement system enhancements that support Medicaid and Exchange/Marketplace requirements Act as a bridge between business users and technical teams, translating operational requirements into system configurations Implement real-time system monitoring to proactively detect and address configuration-related issues before they impact business operations Establish processes for ongoing system audits and performance tracking to ensure stability and compliance Lead root cause analysis and resolution of system performance issues during and post-mplementation Build and mentor a high-performing implementation and configuration team, providing guidance, training, and career development opportunities Establish best practices and standardized procedures for Facets and GuidingCare configuration across new state implementations Perform any other job duties as requested Education and Experience: Bachelor's degree in Information Technology a related field, or equivalent years of relevant work experience is required Master's degree is preferred Ten (10) years of experience in healthcare payer systems, with a strong focus on Facets and GuidingCare implementation and configuration Five (5) years in leadership roles, managing implementation teams and large-scale system deployments required Experience with system integrations, data migration, and API-driven automation in payer environments Competencies, Knowledge and Skills: Knowledge of healthcare regulations (CMS, HIPAA, NCQA) and compliance requirements related to system configurations Strong project management and leadership skills, with experience in large, cross-functional implementations In-depth understanding of Facets modules (claims, provider, benefits, enrollment, billing) and GuidingCare care management workflows Excellent stakeholder management, communication, and problem-solving abilities Ability to drive automation, process improvement, and innovation in system configuration and implementation Familiarity with vendor management, contract negotiations, and service-level agreements (SLAs) Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $110,800.00 - $193,800.00 CareSource tak