Mgr, Configuration - Institutional Configuration

Manage the activities of the Configuration Department. Build strong relationships with key functional areas. Responsible for all performance results of the Configuration Department.

Essential Functions:
  • Responsible for the performance management processes for direct reports including coaching, counseling, providing feedback, career planning, goal setting, and performance assessment.
  • Manages process improvement initiatives, seeking root cause and developing appropriate corrective action.
  • Establishes objectives, goals and performance measures for the function being managed.
  • Coordinates activities to ensure key deliverables are met and resolves conflicting demands.
  • Serves as primary contact for complex configuration issues.
  • Assists in developing short range plans for overall departmental activities
  • May oversee the implementation of programs and strategies
  • May act in liaison capacity with other areas and business units
  • May make recommendations on matters of policy and approve changes in area of expertise.
Additional Responsibilities:
    Candidate Education:
    • Required A High School or GED
    • Preferred A Bachelor's Degree in a related field
    Candidate Experience:
    • Required 5 years of experience in related provider data management
    • Required 2 years experience in leading/supervising others
    Candidate Skills:
    • Advanced Other Knowledge of provider data management and provider contract configuration.
    • Intermediate Demonstrated interpersonal/verbal communication skills
    • Intermediate Other Develop successful working relationships with key functional areas (ie.Provider Relations, Claims, Credentialing, etc..)
    Licenses and Certifications:
    A license in one of the following is required:
      Technical Skills:
        Languages:

          About us
          Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.