Director, Configuration

Director, Configuration

Job Category:
Management/Executive

Department:
Claims Data and Support Services

Location:

Los Angeles, CA, US, 90017

Position Type:
Full Time

Requisition

Salary Range: $ (Min.) – $ (Mid.) – $ (Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low‑income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low‑income communities and residents and to support the safety net required to achieve that purpose.

The Director, Configuration develops and leads the strategy, execution, and continuous enhancement of authorization, benefit, pricing, provider, and configuration governance framework across L.A. Care’s core administrative platforms (QNXT) and associated tools. This position ensures that configuration is accurate, efficient, and designed to function as a preventative control mechanism mitigating downstream defects by strengthening upstream processes, validating requirements, and building predictable, repeatable system behaviors.

The Director oversees the full configuration life cycle – from impact assessment and requirements analysis through design, build, testing, and post‑implementation validation, ensuring that changes are implemented with discipline and high reliability. The Director partners closely with cross‑functional teams and other operational departments to ensure configuration supports a high‑performing claims environment with strong control points, reduced rework, and timely, accurate adjudication.

The Director is responsible for directing all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports. Develops strategic plans, drives change and influences critical business outcomes.

The Director drives skill development, accountability, and operational consistency within the team. This position also serves a key role in supporting enterprise initiatives that require coordinated, scalable, and well‑governed configuration changes.

Develops, and implements standards, quality gates and governance frameworks. Ensures that the core system configuration is executed with rigor, transparency, and precision. Strengthens upstream quality and operational readiness by leading disciplined change processes, anticipating downstream impacts, and establishing a consistent framework that reduces defects, improves accuracy, and enhances the reliability of the claims environment. Through active planning, structured governance, and strong cross‑functional partnerships, ensures configuration supports a more standardized, predictable, and efficient operational ecosystem.

Oversees the end‑to‑end configuration life cycle including analysis, requirements validation, design, build, testing, migration, and post‑deployment monitoring. Establishes standardized processes, documentation requirements, and quality gates to ensure accuracy, traceability, and reliable execution of configuration changes. Ensures configuration solutions support accurate adjudication and align with operational needs, regulatory requirements, and enterprise readiness. Leads development and maintenance of configuration standards, controls, and governance frameworks that promote consistency and reduce manual rework.

Collaborates with cross functional teams on configuration priorities, impacts, and implementation timelines. Partners in configuration quality assurance (QA) activities to validate accuracy, completeness, and compliance with internal standards and regulatory expectations and to ensure clarity of requirements, appropriate test scenarios, and full understanding of configuration logic. Supports operational readiness by coordinating clarification, defect research, requirement updates, and post‑deployment validation support.

Ensures configuration work meets established…