IS System Configuration Analyst II
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Job Description
IS System Configuration Analyst II providing system configuration for managed care payment systems. Ensuring consistency across core applications and collaborating with teams on documentation and analysis.
Responsibilities:
- Provide system configuration for the organization’s managed care payment system (QNXT) and other core vendor developed systems
- Ensure system configuration consistency across all core applications, including technical scoping, configuration, testing, and implementation
- Participate in the vendor management discipline, supporting long term vendor performance and strategy
- Collaborate with IS team and users for collaboration, analysis, and documentation
- Configure and perform daily software maintenance with oversight
- Participate in objective decision making to maintain data integrity, alignment and usability of applications
- Assist leadership in governance
- Participate in frontend and backend process testing and implementation of new software and software upgrades
- Develop and maintain appropriate configuration documentation
Requirements:
- Minimum 3 years’ experience in system configuration or progressively responsible experience in areas that integrate with configurations such as claims processing, coding, auditing, billing, or encounter data
- 2 years’ experience in claims processing, coding, or auditing (preferred)
- 1 year experience in health plan system (e.g., QNXT, Facets, Tapestry, etc.) (preferred)
- Advanced knowledge in some or all of the following areas: Computer applications skills (claims payment, Excel, Word, Outlook), Computer programming concepts and practices, Medicaid and Medicare benefit plans, ICD, CPT, HCPCS and other national coding systems, Claims operation practices and protocols, Principles and practices of managed care systems, procedures, and plan products/systems, System plan/benefit building and maintenance, HIPAA regulations and compliance, Computing/applying rate calculations, and resolving rate calculation disputes
Benefits:
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- AD&D insurance
- Disability insurance
- Health savings account
- Flexible spending account(s)
- Lifestyle spending account
- Employee assistance program
- Wellness program
- Discounts
- Multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings)
- Strong retirement plan with employer contributions
- PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state
- Paid holidays
- Volunteer time
- Jury duty
- Bereavement leave
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