Description
- Serve as a subject matter expert representing the Configuration workstream for large Government Implementations for Medicaid, Med/Surgical, and Medicare programs.
- Provide Data Analysis and troubleshooting expertise on Configuration tool sets with automated processes.
- Prepare data for analysis by removing duplicates, errors, and outliers and perform data validation. Should be able to build SQL queries to pull backend data based on configuration need.
- Serve as a Business Analyst documenting requirements, process flows, and execute testing for enhancements to improve the automation toolset for Configuration.
- Self-manage and prioritize work to achieve designated service level agreements.
- Meet key performance indicators of the Business Configuration solution team for Projects.
- Collaborate with Configuration leaders on the Configuration roadmap deliverables that enable automation of product and network offerings.
- Provide Fit/Gap Analysis and Feedback Assessments on new client plans as Configuration is leveraged to bring on new business.
- Develop and maintain positive working relationships with team members and other stakeholders, including business partners at all levels of leadership.
Top skills you need to have:
- SQL
- SQL/Database experience
- Healthcare claim Healthcare claim understanding/benefit configuration
- Windows Applications
- Informatica
- Oracle SQL for data validation and Facets for claims testing
- 5+ years’ experience with Facets platform, Medical Plan Benefit Configuration, Provider Network & Agreement Configuration
- Understanding for Medicare/Medicaid
- Excellent analytical and problem-solving skills, quick learning.
- Strong communication and interpersonal skills
Education
Any Gradute
- Posted On: 30+ Days Ago
- Experience: 5+ years of experience
- Openings: 1
- Category: Configuration Analyst
- Tenure: Flexible Position