• Senior Configuration Analyst

    Job Locations US-RI-Providence
    Req No.
    2018-9143
    Department
    Operations Support
    Type
    Regular Full-Time
  • Overview

    This position is senior level position responsible for the analysis, design, testing and implementation of configuration changes to support business requirements.  In addition, this position is responsible for identifying areas of automation and enhancement to support and improve internal workflows.  The role requires strong analytical and problem solving skills, the ability to work independently and proactively as well as demonstrated skills in providing excellent customer service. Extensive knowledge of all aspects of heath care operations workflow and terminology is also required. 

    Responsibilities

    • Work with key project stakeholders to formulate, validate and communicate business requirements and scope of project
    • Work with business areas to understand impact to organization areas and systems
    • Responsible for research, design and application of configuration required to support business requirements
    • Perform all configuration changes within applicable software test environments
    • Develop and execute test cases and documentation to support configuration changes/updates/additions
    • Responsible for configuration, interface and application testing
    • Coordinating and documenting for all configuration activity for change control and auditing
    • Responsible for reviewing test results with business owners and obtaining sign off for production implementation
    • Responsible for coordination of production turnover of all configuration work upon user sign off
    • Develop and maintain standards for development of business processes and their documentation
    • Serve as a subject matter expert for root cause analysis and issue resolution
    • Serve as a resource to other areas in Business and Technical Services
    • Identify potential areas of automation and aid in re-engineering the underlying business processes to achieve process improvement
    • Responsible for identifying areas of unused/underutilized system functionality to support business initiatives
    • Perform post implementation audits to ensure configuration matches current business documentation and process
    • Coordinate multiple simultaneous projects and initiatives
    • As required, facilitates and leads meetings and selected workgroups
    • Other duties as assigned
    • Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhood’s Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies and procedures as it applies to individual job duties, the department, and  the Company. This position must exercise due diligence to prevent, detect and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agents

    Qualifications

    Required:

    • Bachelor’s degree or a minimum of Five (5) years of experience and background equating to the degree in a health care setting
    • Minimum of Five (5) years of business analysis and system configuration experience (or comparable skill set) working in a health care setting
    • Demonstrated working knowledge of health care operations including but not limited to authorizations, benefits, enrollment, provider contracting, fiscal operations and claims adjudication
    • Demonstrated working knowledge of system development life cycle processes
    • Experience in identifying solutions to resolve design issues and to effectively communicate these solutions to the project manager/supervisor as well as stakeholders
    • Experience in translating the results of design sessions into configuration requirements
    • Experience in user acceptance testing based on business and configuration requirements
    • Exceptional ability to identify and track issues and drive them to a conclusion
    • Demonstrated ability in leading process improvement initiatives
    • Experience producing project artifacts to include status reports, business requirements, non-technical design documents, etc.
    • Excellent interpersonal skills, including the ability to work across the organization and to interact, influence and negotiate effectively at all levels of management
    • Demonstrated ability to manage multiple priorities simultaneously in a deadline driven environment with accurate resource and time estimates
    • Confident team builder and leader with strong motivational skills. Adept in problem solving and resolving conflict
    • Proficient in Microsoft Office Suite – Word, Excel, PowerPoint, Visio, Outlook, SharePoint

    Preferred:

    • Bachelor’s Degree in Health Care or Technology
    • Experience with Optum CES claim editing software
    • Experience with the Health Rules Payor Transactional System
    • Working knowledge of State and Federal insurance programs
    • Working knowledge of standard billing practices
    • Working knowledge of CMS mandates and guidelines
    • Certified Professional Coder

    Neighborhood is an Affirmative Action and Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status or any other legally protected basis.

     

    Neighborhood is committed to ensuring individuals with disabilities and/or those who have special needs participate in the workforce and are afforded equal opportunity to apply for jobs. If you would like to contact us regarding the accessibility of our Website or need assistance completing the application process, please contact us at recruiting@nhpri.org

     

    Neighborhood is an EOE M/F/D/V and an E-Verify Employer

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