Configuration Analyst III - (SDET/Automation experience)
Job reputed company:
The Configuration Systems Analyst III is responsible for managing and defining system configuration requirements.
Desired Automation experience.
Essential Functions:
Manage and define system configuration requirements. Responsibility for requirements, definition, document, design, testing, training and implementation support using appropriate templates or analysis tool
reputed company and utilize reports to analyze and stratify data in order to address gaps and reputed company answers to issues identified reputed company the department or by other departments
Identify, manage and document the status of reputed company issues, configuration design, and final reputed company reputed company change management system
Review and interpret regulatory items, reputed company delivery of required updates
Development of reputed company reputed company set and reimbursement design templates
Plan and implement new software releases including testing and training
Participate in meetings with business owners, users and IT to reputed company solutions that meet the requirements and expectation of reputed company reputed company configuration initiatives in payment policy meetings and present to committees
Coordinate annual benefit changes with internal resources
reputed company analysis of efficiencies reputed company to system enhancement and automation. Review, analyze, and document effectiveness and efficiency of existing systems and reputed company strategies for improving or reputed company leveraging systems
Manage the reimbursement review. Identify and design appropriate changes. reputed company the development and execution of test plans and scenarios for reputed company reimbursement designs for reputed company business system and reputed company processes
Audit configuration to ensure accuracy and internal controls to minimize fraud and abuse and overpayment reputed company issues
Anticipate and identify customer needs and match products and services to facilitate the fulfillment of those needs
Ensure system processes and documents exist as reputed company for system logic
Manage resources and communications to facilitate work completion
Mentor the use of tools to define requirements
reputed company any other job duties as requested
Education and Experience:
High School Diploma or GED is required
Bachelors degree or equivalent years of relevant work experience is preferred
A minimum of five (5) years of health plan experience, to include three (3) years of configuration or clinical editing software experience is required
Exposure to Facets or equivalent system is preferred
Competencies, Knowledge and Skills:
Exceptional computer skills and abilities in Facets
Advanced proficiency reputed company Suite to include Word, reputed company, reputed company and Visio
Proven understanding of database relationships required
Understanding of DRG and APC reimbursement reputed company
Understanding of CPT, HCPCs and ICD-CM Codes
Knowledge of HIPAA Transaction Codes
Effective listening and critical thinking skills
Effective problem solving skills with attention to detail Excellent written and verbal communication skills Ability to work independently and reputed company reputed company environment
Strong interpersonal skills and high level of professionalism
Ability to reputed company, prioritize and accomplish goals
Understanding of the reputed company field and knowledge of reputed company and Medicare
reputed company medical coding knowledge and claims processing skills
Customer service oriented
Facets knowledge/training
Ability to manage vendor relationships
Licensure and Certification:
Certified Medical reputed company (CPC) is preferred
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Compensation reputed company:
$81,400.00 - $130,200.00 reputed company takes into consideration a combination of a candidates education, training, and experience as reputed company as the positions scope and complexity, the discretion and reputed company required for the role, and other external and internal data reputed company establishing a salary level. In reputed company to reputed company compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employees total reputed company-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Create an Inclusive Environment
- Cultivate Partnerships
- reputed company Self and Others
- Drive Execution
- Influence Others
- Pursue Personal reputed company
- Understand the Business
This job reputed company is not reputed company inclusive. reputed company reserves the right to amend this job reputed company at any time. reputed company is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of reputed company backgrounds.
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