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Medical Associates Health Plans is hiring a Configuration Manager to join our management team!

Where You Will Be Working: 

Medical Associates Clinic and Health Plans is a multi-specialty group practice combined with a growing health insurance company.  Our 1,100 healthcare and health insurance professionals lead the way in providing quality healthcare and top-notch insurance products in Northeast Iowa, Southwest Wisconsin, and Northwest Illinois. This position is an onsite position, based out of Medical Associates Health Plans in Dubuque, Iowa.

Skills You Bring:

  • Strong leadership skills
  • Positive, energetic personality with ability to make quick, tough decisions
  • Strong communication skills
  • Organization skills, multitasking, and follow-through

Benefits Package Includes: 

  • Single or Family Health Insurance with discounted premium rates for wellness program participation.
  • 401k with immediate matching (50% on the dollar up to 7% of pay) + additional annual Profit Sharing
  • Flexible Paid Time Off Program (24 days off/year)
  • Medical and Dependent Care Flex Spending Accounts
  • Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

Essential Functions & Responsibilities:

  • Overall coordination of core systems including claims system, web portal, HIPAA and Credentialing applications.  Including development, implementing new functionality and enhancements, testing and timely updating of data.
  • Overall coordination of all EDI HIPAA transactions including standard transactions and Encounter Data to ensure compliance with transaction versions, operating rules and timeliness standards.
  • Lead, supervise and mentor configuration staff in timely and accurate configuration/testing and pricing auditing of Core Claiming system, Web portal, HIPAA and Credentialing applications.
  • Coordinate analytical duties for claims and credentialing – such as roster compares, pricing auditing and network adequacy testing.
  • Oversee the scheduling, hiring/training employees, timekeeping, monitoring workflow and department backlog, prioritization of projects, and performance management of all direct reports.
  • Participate in user groups meetings/calls available for MAHP core systems to develop a network of system users experts to be used as an external resource for MAHP staff.
  • Complete all other assigned projects and duties

Knowledge and Skills:

Experience                   Three to five years of similar or related experience

Education                    Equivalent to a two-year college degree or completion of a specialized course of study or certification at a business or trade school.

Interpersonal Skills      A significant level of trust and diplomacy is required, in addition to normal courtesy and tact.  Work involves extensive personal contact with others and/or is usually of a personal or sensitive nature.  Work may involve motivating or influencing others. Outside contacts become import and fostering sound relationships with other entities (companies and/or individuals) becomes necessary.

 

Physical Aspects:

Reaching - Extending hand(s) and arm(s) in any direction.
Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles
Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.
Talking - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.
Hearing - Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.
Vision - 20 / 40 or better in the best eye with or without correction.
Vision - 20 / 40 or better in the best eye with or without correction.
Repetitive Motions - Substantial movements (motions) of the wrists, hands and/or fingers.
Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status. Please view Equal Employment Opportunity Posters provided by OFCCP https://www.eeoc.gov/poster