Health Payer Operations Consultant - Manager

About this role

Job Overview:

PENNEP is seeking an experienced Health Rules Payer Manager- Systems Configuration & Programming to join our client’s dynamic team. This role is responsible for managing and/or performing work related to the programming and configuration of internal end-user applications that are integrated with business processes, data, and IT infrastructure.

The ideal candidate will analyze detailed business, functional, and technical requirements and specifications to support application design and development. Responsibilities also include supporting application testing, deployment, maintenance, and enhancement activities by resolving programming issues, responding to scope changes, and implementing application improvements.

Roles & Responsibilities:

• Articulates the job's main responsibilities. This is not intended to be an exhaustive list of all essential functions or all duties performed. The essential functions listed below and percentage of time may vary between departments and locations, and are subject to change based on management discretion and organizational needs. Other responsibilities may be assigned at the discretion of management to meet organizational needs.
• Define systems engineering strategy aligned with organizational goals.
• Design and approve system architecture and integration standards.
• Evaluate emerging technologies for adoption.
• Lead and mentor systems engineering team members.
• Coordinate with cross-functional teams (development, operations, security).
• Manage resource allocation and team performance.
• Oversee deployment and configuration of enterprise systems.
• Ensure adherence to best practices and compliance standards.
• Implement security policies and monitor compliance.
• Ensure system reliability and disaster recovery readiness.
• Monitor system performance and optimize for efficiency.
• Prepare reports and metrics for leadership.

Additional Responsibilities:

• **Organizational Impact:** Establishes and ...