Richmond, VA, US
3 days ago
Director, System Configuration

Sentara Health is seeking to hire a qualified individual to join our team as Director, System Configuration (remote).

Position Status: Full-time, Day Shift

Position Location: This position is remote (within our remote states).

Standard Working Hours: 8:00AM to 5:00PM (ET).

Minimum Requirements:

3+ years experience working with or managing benefits and/or benefit configuration.5+ years networX pricer experience required.10+ years healthcare experience required.5+ of those years in some level of leadership.Proven experience around leading, or playing a key role in, implementations of new business lines.

Preferred:

5+ years of QNXT experience.Experience with government programs and commercial line of business.Strong communication skills.Strong project planning/management skills.

Expectations for this Role:

Sentara Health is seeking Director, Enterprise Project Management. This director will be responsible for benefits build out and understating how it works among other things.

Sentara Health Overview

Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 130 years in pursuit of its mission - "We improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018), and was recognized by Forbes as a "Best Employer for New Grads" (2022), "Best Employer for Veterans" (2022), and "Best Employer for Women" (2020).

Mission, Purpose, and Values

Mission – We improve health every day.Purpose – Sentara exists to be the trusted partner to individuals and the community in their journey to health and well-being.Values – People, Quality, Patient Safety, Service, and Integrity.

Sentara Healthcare Commitments

Sentara has made a commitment to its colleagues, patients, and members to:

Always keep you safe.Always treat you with dignity, respect, and compassion.Always listen and respond to you.Always keep you informed and involved.Always work together as a team to provide you with quality healthcare.

Diversity and Inclusion at Sentara

Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve.

We are realizing this vision through our Diversity and Inclusion strategy, which has three pillars: A diverse and talented workforce, an inclusive and supportive workplace, and outreach and engagement with our community. We have made remarkable strides in these areas over the past several years and, as our world continues to evolve, we know our work is never done.

Our strategies focus on both structural inclusion, which looks at our organizational structures, processes, and practices; as well as behavioral inclusion, which evaluates our mindsets, skillsets, and relationships. Together, these strategies are moving our organization forward in an environment that fosters a culture of mutual respect and belonging for all.

Please visit the link below to learn more about Sentara’s commitment to diversity and inclusion:

https://www.sentara.com/aboutus/mission-vision-and-values/diversity.aspx

Sentara Benefits
As the third-largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers.  We offer a variety of amenities to our employees, including, but not limited to: 

Medical, Dental, and Vision InsurancePaid Annual Leave, Sick LeaveFlexible Spending AccountsRetirement funds with matching contributionSupplemental insurance policies, including legal, Life Insurance and AD&D among others.Work Perks program includes discounted movie and theme park tickets among other great deals.Opportunities for further advancement within our organization

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace.  For information about our employee benefits, please visit: Benefits - Sentara (sentaracareers.com)
 
Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!

Please Note:  Yearly Flu Vaccination are required for employment.

#indeed, #LI-AB1

Key words: Systems Configuration

For applicants within Washington State, the following hiring range will be applied: $120,316.56 - $158,798.64.

Candidates must have residency in one of the following states to work remotely in this position: 

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming 

The Information Technology Director plans, coordinates, and directs the Information System activities for assigned area or project. Lead technical and programming teams. Serve as the liaison between designated area or project and Information Technology. Bachelors Degree or 4 years of related experience required.

We are looking for an experienced Director of System Configuration that has more than 10 years in-depth experience using the QNXT Software Application and NetworX Suite of Products. Must be familiar with all pricing configuration, benefits, Edit Rules, program setup, claim editing systems, configuration options, Networx Rate Sheets, and how the claims adjudication process works in QNXT as it integrates with NetworX Pricer. Additional experience in Optum Easy Group is an added bonus as this is our integrated grouping and pricing solution. This team will manage new QNXT/NetworX implementations as well as serve as the primary point of contact for any other implementations in the organization that may impact the system configuration department. Sentara is a great place to work and has an amazing culture, great benefits and allows for the ability to work remotely (in an approved states). If you are a ‘Go Getter’ type leader, love a good challenge and want to build out your own team, please apply we would love to have you join our growing team. #LI-AB1 #Indeed #Talroo

Bachelor's Level DegreeHealthcare More than 10 YearsHealth Plan Product Support 5 years
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