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Manager, Provider Configuration

Company

Advanced Medical Management

Location

California, United States

Type

Permanent

Job Description Job Description

Position Summary

The Provider Configuration Supervisor is responsible for leading and overseeing all day-to-day provider and contract configuration activities within the claims adjudication system (EZCAP) for a fully delegated IPA/MSO operating under Full-Risk Medicare Advantage and Value-Based Care contracts.

This role ensures that providers, facilities, contracts, fee schedules, DOFRs (Delegated Organization Financial Responsibility), benefit configurations, and claims payment rules are configured accurately, timely, and in alignment with executed contracts, delegation agreements, and financial models. The Supervisor leads configuration analysts, enforces configuration standards, mitigates downstream claims risk, and ensures claims are clean, payable, and audit-defensible.

This is a mission-critical role: configuration errors directly result in incorrect provider payments, financial leakage, disputes, regulatory ex...

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