Configuration Analyst

Qualifications:

·         Associates degree or equivalent years of relevant work experience is required

·         Ability to work independently and within team environment.

·         Intermediate knowledge of Microsoft Excel (i.e. mail merge, sorting/filtering, formulas);

·         Working knowledge SQL and Access is preferred.

·         Minimum of 3 years experienced and understanding of healthcare field with knowledge of Medicare and Medi-Cal is required.

·         Understanding of CPT, HCPCs, ICD-CM Codes, DRG and APC reimbursement methods.

·         Experience working through an open enrollment or annual renewal benefits and DOFR configuration is preferred.

·         Knowledge of EZCAP 6X system configuration is a plus

·         Proven ability to multitask, adjust priorities, meet deadlines, and successfully operate in a fast-paced work environment

·         Ability to follow through on and successfully execute tasks while adhering to specified quality standards

·         Excellent problem analysis, troubleshooting, problem solving and decision making skills

·         Strong organizational, analytical skills and strong attention to detail

·         Possess proactive mindset to seek information to create effective solutions

·         Ability to work well independently and as a team member

·         Excellent interpersonal, verbal and written communication skills

Responsibilities include, but not limited to:

·         Review and revise business and plan design requirements and the functional design specifications for system set-ups and configurations;

·         Analyze technical requirements, test plans, training materials and procedure documents;

·         Execute test plans and test case scenarios to ensure requirements are being met;

·         Perform data manipulation, mapping, conversions, and validations utilizing internal systems, external files, Access, and Excel;  

·         Utilize available tools provided by relevant state or federal websites to obtain pertinent regulatory transmittals and fee schedules.

·         Proactively identify and resolve risks and provide proper escalation for high level resolutions;

·         Maintain best practices and proactively recommend opportunities for efficiency improvements;

·         Perform other duties and responsibilities as assigned.