Supervisor of Configuration

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. Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and.

Overview:

The Supervisor of Configuration provides frontline leadership and oversight of configuration and
system change activities supporting claims adjudication, case management, and related health
plan systems relevant to the assigned area(s) of responsibility within the Configuration
Department.
This role is responsible for supervising the day-to-day execution of configuration work, ensuring
accuracy, compliance, and adherence to established governance standards. The Supervisor
maintains the accuracy and completeness of configuration projects and programs in alignment
with 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 leadership
and coaching to staff, and supports quality assurance within the department. This position
partners closely with the Manager of Configuration and cross-functional stakeholders to ensure
system changes are implemented efficiently, compliantly, and with appropriate documentation
and communication. 

Responsibilities:

 

Essential Duties and Responsibilities

Leadership & Team Supervision
o 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 staff
development and engagement.
o Assists with hiring, onboarding, and workforce planning to meet operational
needs.
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 Execution
o Oversee the execution of configuration updates and system changes in accordance
with established processes and governance standards.
o Ensures configuration changes are properly documented, tested, and implemented
following department standard workflows and procedures.
o Supports change intake, tracking, and workflow coordination.

o Monitors team adherence to change management lifecycle steps, including
documentation and approvals.
Quality Assurance & Compliance Support
o Ensures configuration activities meet regulatory requirements, including
Contractual Agreements and/or Medi-Cal, CMS, and Medicare guidelines.
o Supports audit readiness by maintaining accurate, traceable, and complete
configuration documentation.
o Participates in validation activities, including testing and post-implementation
reviews.
o Identifies and escalates potential compliance risks or quality issues.
Process Adherence & Continuous Improvement
o Enforces established Configuration Department policies, procedures, and
standards 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 by
leadership.
Cross-Functional Collaboration
o Coordinates with internal stakeholders including IT, EDI, Operations, and Claims
to support configuration activities.
o Communicates status updates, timelines, and issues to the Manager and relevant
stakeholders.
o Assists in resolving configuration-related issues and system defects.
Reporting & Operational Support
o Tracks team performance metrics related to productivity, accuracy, and
turnaround times.
o Prepares operational reports and summaries, as required, for review by leadership.
o Assists in maintaining a productive work environment and monitoring workload
trends.
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, or related field preferred; Minimum three (3) years of experience analyzing and configuring claims systems; Prior supervisory or team lead experience preferred; Equivalent combination of education and experience may be considered.
Special Skills, Licenses andCertifications	Strong working knowledge of claims processing and editing systems, including Health Rules Payer, CES, or similar platforms, with the ability to configure and troubleshoot system issues. Solid understanding of claims adjudication processes and requirements, translating business and regulatory needs into system configurations, enhancements, and reporting outputs. Experience with care management systems (e.g., JIVA or similar), including understanding of data flow and integration with claims operations. Knowledge of Medi-Cal managed care and CMS/Medicare regulations, ensuring compliance through accurate configuration and ongoing monitoring. Experience utilizing workflow and tracking tools (e.g., JIRA, Workfront) to manage assignments, prioritize tasks, and meet project deadlines. Proficiency in Business Intelligence and reporting tools (e.g., Business Objects or similar), supporting data analysis, auditing, and operational reporting. Advanced proficiency in Microsoft Office Suite (Excel, Word, Outlook), including data manipulation, reporting, and documentation. Strong written and verbal communication skills, with the ability to collaborate across teams and clearly document requirements and solutions. Ability to work independently while also supporting team initiatives, including mentoring junior staff and contributing to process improvements
Performance Based Competencies	Strong attention to detail and commitment to data accuracy. Ability to manage competing priorities in a demanding environment. Effective problem-solving and decision-making skills. Ability to interpret business requirements, ensure compliance, and translate technical concepts for both technical and non-technical audiences. Strong collaboration 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 is spent in front of a computer monitor. Must be able to maintain focus and accuracy in a fast paced environment and maintain courtesy and composure when dealing with internal or external customers. Ability to communicate effectively with internal and external stakeholders. When required, ability to move, carry, or lift objects of varying sizes, weighing up to 10 lbs.

 

 

AllHealthPlan 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

 

Thejobduties,elements,responsibilities,skills,functions,experience,educationalfactorsandthe 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.