Configuration Analyst III - (SDET/Automation experience)
Job Summary: 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 provide answers to issues identified reputed company the department or by other departments Identify, manage and document the status of open issues, configuration design, and final resolution reputed company change management system Review and interpret regulatory items, timely delivery of required updates Development of standard code 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 Provide 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 further 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 core 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 basis 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, Access and Visio Proven understanding of database relationships required Understanding of DRG and APC reimbursement methods 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 a team 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 Proper 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
Range: $81,400.00 - $130,200.00 reputed company takes into consideration a combination of a candidates education, training, and experience as well 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 addition to reputed company compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employees total well-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 Excellence - Understand the Business This job description is not reputed company inclusive. reputed company reserves the right to amend this job description 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. Apply Job!