SoluStaff

  • Senior Configuration Analyst Consultant (Health Payor)

    Job Locations US-MA-Boston
    Posted Date 9 months ago(1/16/2018 3:06 PM)
    ID
    2018-1391
    # of Openings
    1
  • Overview

    SoluStaff is actively recruiting a Senior Configuration Analyst consultant for our clients’ core administrative system implementation.  The Senior Configuration Analyst will provide critical analytical and consultative support to achieve the successful implementation of a core claims administration platform. Configuration detail design documentation created by this role will serve as a guide for other internal and consulting resources on the team to achieve desired results. In addition, the Senior Configuration Analyst will also play a key role in analyzing the requirements, building the system configuration components, and support the testing of the system. Our client is located in the Boston, MA area.  Non-local consultants considered.

    Responsibilities

    Collaborate with stakeholders and the Configuration Team as necessary to elicit and document clear business requirements needed for configuration in HealthRules Payor

    • Build out and test various system configuration items including Benefits, Provider Contracts, Claims, and other miscellaneous provisions that support Providers, Members, Accounts, Finance, Brokers, and Reporting
    • Support integration and business process activities that utilize configuration as part of the end to end solution to meet business requirements
    • Provide analysis and documentation that supports configuration management, design, requirements traceability, and audits
    • Provide support for activities related to training, communication, and transition of resources that will manage the configuration and audit functions of the system
    • Create detailed configuration design documentation that will be used by other configuration analysts to build out business rules in the system to meet business requirements
    • Collaborate with cross functional areas to understand configuration inter-dependencies
    • Triage possible issues identified and implement applicable remediation and testing to address confirmed configuration issues
    • Provide analysis and support as needed for integration points with HealthRules Payor needed for the successful end- to-end design
    • Provide support and input needed to support functional, system integration, and user acceptance testing
    • Provide support to deployment, release, and recovery activities

    Qualifications

    • Bachelor of Science degree in a computer or business related field
    • Previous HealthRules Payor (or other systems like FACETS, QNXT, Aldera etc.) implementation experience in a senior configuration role
    • 3-5 years minimum experience in Health Insurance or delivery with a working knowledge in one or more operational areas including Claims, Provider Credentialing and Reimbursement, Product Design, HIPAA transactions, Premium Billing, Enrollment, or Medical Code sets.
    • Analytical skills necessary to understand current data structure, operational processes, and data structure to identify opportunities for improvement, as well as be able to suggest ways to bridge the gap.
    • Experience in a data management and/or analytic environment is required with the ability to gather, document, test and implement business requirements.
    • Previous experience working in an Agile Development environment.

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