Manager, Configuration Center of Excellence

Manager, Configuration Center of Excellence

Job Category
:
Business Platform

Requisition Number
: MGRCO
006218

• Full-Time

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Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

Medica's Manager, Configuration Center of Excellence (COE), leads a team of Business Analysts and Quality Auditors that support configuration delivery across the organization. The COE provides audit oversight, claims impact analysis, process improvement, requirements management, training, documentation, reporting, and operational support to configuration teams. This role is responsible for establishing and advancing the COE's strategy, governance framework, operating standards, and best practices.

The Manager partners closely with Configuration Delivery, Configuration Architecture, Product Design, Information Technology, Claims, Internal Audit, Operations Training and Readiness, and other business stakeholders to improve configuration quality, reduce operational risk, increase visibility, and support scalable delivery processes.

Initially, this leader will focus on clarifying responsibilities across the Business Analyst and Quality Auditor functions, improving work assignment and visibility, and preparing the COE to support additional configuration teams. The role will also identify opportunities to strengthen quality controls, improve operational efficiency, and expand the value delivered by the COE. Performs other duties as assigned.

Key Accountabilities

Configuration Quality, Auditing, and Governance (25%)

• Establish and maintain configuration quality standards, audit frameworks, and governance processes
• Oversee production, operational, service, and ad hoc configuration audits
• Develop audit methodologies, quality controls, documentation standards, and reporting processes
• Monitor completed configuration work to identify errors, trends, risks, and opportunities for improvement
• Communicate audit findings and recommendations to Configuration Delivery leadership
• Partner with Business Analysts and operational teams to address recurring process issues
• Support corporate audit activities, including regulatory, compliance, and internal audit reviews
• Maintain centralized audit documentation, findings, and historical reporting
• Ensure adherence to configuration standards, internal controls, and regulatory requirements

Operational Excellence, Process Improvement, and Claims Impact Support (25%)

• Lead continuous improvement initiatives across business configuration operations
• Oversee claims impact reporting related to retroactive configuration changes
• Partner with Claims and Configuration Delivery teams to support claims reprocessing efforts
• Analyze root causes of retroactive changes, including configuration errors, requirements gaps, and operational delays
• Recommend process improvements, training opportunities, and enhanced controls based on findings
• Improve work intake, prioritization, assignment, tracking, and visibility processes
• Collaborate with business and technology teams to identify automation opportunities
• Establish operational standards that support consistency, efficiency, and scalability
• Measure and…