
Configuration Analyst / Job Req 1040513923
Alameda, CA · HybridJobSeen todaySeen in employer's feed today
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Job overview
The Configuration Analyst configures and maintains provider contracts, fee schedules, benefits, and code sets in the HealthSUITE claims adjudication system. The role supports operational teams by analyzing business needs, designing and testing configurations, and auditing system operations. It also assists with system upgrades and works with business users to document requirements and workflows. External applicants must be California residents on their first day of employment; internal applicants must live in an approved state.
Skills & qualifications
Skills
Qualifications
Full job description
Hybrid role: - External applicants must be a California resident as of their first day of employment. - Internal applicants must live in their current approved state (The 6 approved states: CA, AZ, NV, TX, WA, OR). PRINCIPAL RESPONSIBILITIES: Under general supervision by the Manager, Applications, the Configuration Analyst configures and maintains provider contracts, fee schedules and code sets in the HealthSUITE claims adjudication system. Additionally, this position provides technical and administrative support to operational areas to ensure that system configuration and data is precise and ready to support the operational and business needs of Alameda Alliance for Health (the Alliance) and its various business partners. Principal responsibilities include: - Configure benefits, provider contracts and fee schedules in the HealthSUITE claims adjudication system. - Monitor updates of various code sets to ensure accurate and timely operations. - Work with the business for the purpose of analysis and documentation of business needs and requirements. - Analyze, design, test and develop system configuration needs to include documentation, adherence to change management standards and requirements. - Accountable for understanding of business/operational workflow objectives and knowledge of how the enterprise software application functionality will support the workflows - Work as a team with departmental staff to identify opportunities for operational improvements. - Continually review/audit system operations and operating results to ensure consistent application of policies, practices and optimal system configuration. - Gather data for analysis to assist in system planning and upgrades. - Complete special projects and other duties as assigned. ESSENTIAL FUNCTIONS OF THE JOB - Maintain benefits, provider contracts, fee schedules and code sets. - Assist with system upgrades and configurations. - Consult with business areas to document business requirements, as is stages and workflows. - Systematic analysis, problem solving, and design of workflows, configuration documents, test scenarios and status reports. - Data analysis and system audits to support operational efficiencies. - Use outstanding customer service principals when servicing the needs of the business users. - Comply with the organizations Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls. PHYSICAL REQUIREMENTS - Constant and close visual work at desk or computer. - Constant sitting and working at desk. - Constant data entry using keyboard and/or mouse. - Frequent use of telephone headset. - Constant verbal and written communication with staff and other business associates by telephone, correspondence, or in person. - Frequent lifting of folders and other objects weighing between 0 and 30 lbs. - Frequent walking and standing Number of Employees Supervised: 0 MINIMUM QUALIFICATIONS: EDUCATION OR TRAINING EQUIVALENT TO: Bachelors Degree or equivalent work experience. MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE: Minimum One to three years working within the health care/managed care environmen
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