• Oversee daily operations and performance of the Claims Systems Configuration team • Develop, track, and report on departmental KPIs • Ensure accurate and optimized claims processing through strong data integrity and continuous process improvement • Provide approval for configuration deployments, documentation, and training materials • Maintain departmental audit controls and partner with Compliance to ensure readiness for internal or external audits • Lead the design and implementation of claim business rule configurations, including clinical and admin policy, benefit, provider, and authorization rules • Manage change control, risk assessments, issue resolution, and progress reporting • Support the refinement activities of configuration requests and design align with approved requirements • Recommend system improvements to increase auto-adjudication rates and streamline claims processing • Oversee development and maintenance of departmental work instructions, policies, and workflows • Ensure effective training materials are created and maintained for configuration processes • Conduct and oversee audits to ensure adherence to processes and documentation standards • Motivate and guide the team to meet performance expectations and departmental goals • Support Supervisors and Trainers in developing staff knowledge and capabilities • Assist with personnel management activities, including hiring, performance evaluations, and disciplinary actions • Provide escalation support for complex configuration or client issues • Partner with governance and process improvement teams to refine workflows and remove impediments • Collaborate with internal teams to provide education on system configuration and support corrective action responses • Ensure knowledge transfer across departments and support broader organizational initiatives