Director, Configuration Implementation(Facets Experience Required, GuidingCare Experience Preferred)

Job Summary:

The Director, Configuration Implementation will be responsible for leading the end-to-end implementation, configuration, and optimization of Facets and GuidingCare systems for a healthcare insurance company. This role requires deep expertise in payer platform configuration, system integration, and implementation strategy to ensure seamless deployment and operational efficiency. The Director will lead cross-functional teams, collaborate with key stakeholders, and drive best practices to enhance system functionality and business performance.

Essential Functions:

• Oversee the full lifecycle of Facets and GuidingCare configuration implementations, including planning, execution, testing, and go-live support
• Define and drive implementation strategies, roadmaps, and timelines to ensure successful deployments that meet business objectives and ensure alignment of system configurations with regulatory requirements, business rules, and operational needs
• Lead the Facets and GuidingCare configuration team to design, build, and optimize system settings, benefit structures, provider contracts operationalization, and workflow automation
• Ensure best-in-class configuration practices, enabling scalability and flexibility to support evolving business needs
• Develop a governance model for configuration management, including version control, auditability, and span-based configurations
• Partner with IT, operations, compliance, provider relations, and claims teams to align system capabilities with business and regulatory needs
• Work closely with vendor partners to implement system enhancements that support Medicaid and Exchange/Marketplace requirements
• Act as a bridge between business users and technical teams, translating operational requirements into system configurations
• Implement real-time system monitoring to proactively detect and address configuration-related issues before they impact business operations
• Establish processes for ongoing system audits and performance tracking to ensure stability and compliance
• Lead root cause analysis and resolution of system performance issues during and post-mplementation
• Build and mentor a high-performing implementation and configuration team, providing guidance, training, and career development opportunities
• Establish best practices and standardized procedures for Facets and GuidingCare configuration across new state implementations
• Perform any other job duties as requested

Education and Experience:

• Bachelor’s degree in Information Technology a related field, or equivalent years of relevant work experience is required
• Master’s degree is preferred
• Ten (10) years of experience in healthcare payer systems, with a strong focus on Facets and GuidingCare implementation and configuration
• Five (5) years in leadership roles, managing implementation teams and large-scale system deployments required
• Experience with system integrations, data migration, and API-driven automation in payer environments

Competencies, Knowledge and Skills:

• Knowledge of healthcare regulations (CMS, HIPAA, NCQA) and compliance requirements related to system configurations
• Strong project management and leadership skills, with experience in large, cross-functional implementations
• In-depth understanding of Facets modules (claims, provider, benefits, enrollment, billing) and GuidingCare care management workflows
• Excellent stakeholder management, communication, and problem-solving abilities
• Ability to drive automation, process improvement, and innovation in system configuration and implementation
• Familiarity with vendor management, contract negotiations, and service-level agreements (SLAs)

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business