DLP / Desk Level Procedures Manager

The OpportunityAt Huron, we’re redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client’s challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work…together.Are you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron.Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace.Position SummaryHuron is a global consultancy that partners with healthcare organizations to optimize operations, improve financial performance, and drive sustainable transformation.We are seeking a Facets DLP / Desk Level Procedures Manager with strong expertise in health plan operations, membership processing, claims processing, and Facets configuration. This role will focus on designing, documenting, and optimizing Desk Level Procedures (DLPs) that support critical payer workflows across membership, claims, benefits, and configuration processes.This individual will play a key role in translating complex system workflows and business processes into clear, actionable step-by-step procedures that enable operational teams to resolve issues, maintain compliance, and drive consistent execution.QualificationsKey ResponsibilitiesDesign and document comprehensive Desk Level Procedures (DLPs) across claims, benefits, enrollment, and configuration workflowsTranslate business processes and system functionality into clearly defined, step-by-step operational procedures for end usersDevelop DLPs that outline:Standard workflowsException handling processesStep-by-step issue resolution proceduresEnsure documentation is accurate, complete, and aligned with current Facets system behavior and business rulesPartner with configuration teams to align DLPs with Facets system setup across membership, billing, claims, benefits, provider, and pricing modulesTranslate configuration logic into operational procedures for claims processing, adjustments, and issue resolutionSupport troubleshooting of claims and benefit-related issues tied to configuration gaps or system logicValidate that operational processes reflect accurate claims adjudication workflows and system dependenciesProvide deep subject matter expertise in:Membership including premium billingClaims adjudication workflowsBenefits configuration and plan designProvider payment and reimbursement processesDevelop procedures that help teams:Investigate errorsIdentify configuration issuesExecute corrections and reprocessing stepsEnsure procedures support consistent, complaint claims and benefits operationsCreate DLPs that clearly outline:How to identify root causes of claims or configuration issuesStep-by-step actions to resolve issues within Facets or downstream systemsEscalation paths and cross-team dependenciesPartner with operational and IT teams to analyze recurring issues and improve existing proceduresDrive consistency in how teams diagnose and resolve claims, configuration, and workflow issuesCollaborate with Claims, Enrollment, Provider Configuration, IT, and Operations teams to define and validate processesTranslate complex technical and system concepts into clear, business-friendly documentationSupport training initiatives by providing DLP documentation and operational guidance for end usersContinuously evaluate and enhance DLPs to improve:Operational efficiencyAccuracy and consistencyIssue resolution timelinesStandardized procedures across clients and environments to ensure repeatable, scalable delivery modelsSupport system implementations, conversions, and operational transformations with DLP developmentRequired Qualifications5+ years of experience working within Healthcare Payer operations5+ years of healthcare payer experience (Medicare andMedicaid)5+ years of hands-on experience with Facets (TriZetto), particularly in:Premium billingClaims processingBenefits/Provider configurationOperational workflowsStrong experience developing:Desk Level Procedures (DLPs)SOPs, workflows, or operational documentationDeep understanding of:Eligibility and premium billingClaims adjudication processesBenefits configuration and plan structuresProven ability to:Translate complex processes into clear, step-by-step instructionsTroubleshoot and resolve system/process-related issuesExperience working in a consulting or client-facing environmentPreferred QualificationsExperience supporting:Facets implementations and processingWorkflow configuration or operational assessmentsStrong analytical and documentation skillsFamiliarity with:SQL or claims data analysisTicketing/workflow tools (e.g., JIRA)Experience building training materials or user guidesAI Tools experience with Copilot, ChatGPT, ClaudePosting CategoryHealthcare-PayerOpportunity TypeRegularCountryUnited States of America