The Supervisor, Health Plan Business Systems Operations will lead a team focused on delivering business solutions for complex health plan initiatives, including the configuration and implementation of new markets and products. This role requires strong system analysis, configuration design, testing, and documentation skills, as well as a high level of expertise in supporting governmental and commercial reimbursement policies.

The Supervisor will oversee claims and system administration activities, manage configuration and testing projects, and ensure platform functionality aligns with organizational goals. This individual will serve as a key liaison between departments, ensuring realistic project scopes, effective timelines, and the resolution of barriers. Experience with commercial health plans and strong leadership capabilities are essential. QNXT platform experience is highly preferred.

Bachelor’s Degree (Required)
 

No specific certification or licensure requirements

Minimum 2 years of experience managing people or leading a team

Experience in the configuration of commercial health plans; QNXT experience preferred

Strong understanding of government and commercial reimbursement methodologies

3+ years of experience with MS SQL Server, including writing SQL queries and working with SSAS, SSRS, and SSIS

Proven ability to retrieve and analyze complex data using Microsoft Access, Excel, and SQL

Proficient in process mapping/flow charting and documentation best practices

Demonstrated ability to independently lead multi-functional projects and guide team members

Strong organizational, verbal, and written communication skills

Ability to coach, mentor, and manage workload across a team of analysts

Experience in Managed Care, Medicaid, or Medicare Insurance environments

Ability to apply sound judgment, troubleshoot complex issues, and influence process improvements

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$80,204.80-$133,681.60. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.