Configuration Business Analyst - Remote | WFH - Get It Recruit - Finance
Alexandria, OH 43001
About the Job
Join a dynamic team dedicated to leveraging cutting-edge technologies to enhance the health and well-being of vulnerable populations across our country and communities.
Working with us at a leading healthcare technology company brings numerous rewards. You'll find exceptional opportunities to advance your career in an environment that prioritizes flexibility, continuous learning, and professional growth.
You'll expand your technical expertise and earn valuable certifications, supported by a generous vacation policy and educational assistance programs.
We also offer extensive leadership and technical development programs designed to enhance your skills and capabilities.
Summary:
As a Configuration Business Analyst, you will play a crucial role in utilizing technology to improve healthcare outcomes for communities' most vulnerable members. Join a passionate team dedicated to solving healthcare's most pressing challenges through innovation.
In this role, you will:
- Design, build, and validate Medicaid Information Technology Systems (MITS) across various functional areas.
- Support complex system configuration changes and new requirements, including analysis, design, build, and testing.
- Troubleshoot and resolve system configuration errors, conduct investigations, and perform root cause analysis for issues.
- Collaborate with stakeholders at all levels to communicate designs effectively and facilitate conflict resolution.
- Configure claims adjudication logic and manage provider agreements, fee schedules, and payment rules.
- Ensure quality assurance and testing within healthcare claims systems to ensure smooth implementation.
- Develop strategies to enhance service development lifecycle and governance processes.
- Utilize enterprise service and data models to drive system improvements.
What we're looking for:
- 3+ years of experience in claims configuration, with recent experience in QNXT.
- Strong analytical skills with experience in quantitative data analysis and problem-solving.
- Background in healthcare, particularly in coding, financial rate setup, or claims processing within managed care environments.
- Proficiency in medical claims data and formats (e.g., Revenue Codes, ICD-10, CPT Codes).
- Knowledge of basic programming concepts and software tools for quantitative analysis.
- Excellent communication skills, both written and verbal, with the ability to convey technical information effectively.
- Ability to work collaboratively in a team environment and influence others positively.
- Additional experience with PL/SQL, Medicaid systems (e.g., ClaimsXten, 3M Grouper), and Microsoft Excel is advantageous.
What you can expect:
- Fully remote work options available across most US locations and territories.
- Initial interviews and orientation conducted via video conference.
- Application deadline: June 25, 2024.
Compensation and Benefits:
- Salary range: $55,600.00 - $79,400.00 per year (actual base pay may vary based on location and experience).
- Comprehensive benefits package including flexible vacation policy, 401(k) with employer match, and educational assistance.
- Opportunity for career growth in a collaborative and innovative work environment.
Join us at the company:
At the company, we believe in the power of diversity, equity, and inclusion to drive our success. We are committed to creating a workplace where all employees feel valued and empowered to contribute their best.
Learn more about us at our company website and explore other career opportunities on our Careers site.
The company is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Employment Type: Full-Time
Salary: $ 40,000.00 140,000.00 Per Year
Working with us at a leading healthcare technology company brings numerous rewards. You'll find exceptional opportunities to advance your career in an environment that prioritizes flexibility, continuous learning, and professional growth.
You'll expand your technical expertise and earn valuable certifications, supported by a generous vacation policy and educational assistance programs.
We also offer extensive leadership and technical development programs designed to enhance your skills and capabilities.
Summary:
As a Configuration Business Analyst, you will play a crucial role in utilizing technology to improve healthcare outcomes for communities' most vulnerable members. Join a passionate team dedicated to solving healthcare's most pressing challenges through innovation.
In this role, you will:
- Design, build, and validate Medicaid Information Technology Systems (MITS) across various functional areas.
- Support complex system configuration changes and new requirements, including analysis, design, build, and testing.
- Troubleshoot and resolve system configuration errors, conduct investigations, and perform root cause analysis for issues.
- Collaborate with stakeholders at all levels to communicate designs effectively and facilitate conflict resolution.
- Configure claims adjudication logic and manage provider agreements, fee schedules, and payment rules.
- Ensure quality assurance and testing within healthcare claims systems to ensure smooth implementation.
- Develop strategies to enhance service development lifecycle and governance processes.
- Utilize enterprise service and data models to drive system improvements.
What we're looking for:
- 3+ years of experience in claims configuration, with recent experience in QNXT.
- Strong analytical skills with experience in quantitative data analysis and problem-solving.
- Background in healthcare, particularly in coding, financial rate setup, or claims processing within managed care environments.
- Proficiency in medical claims data and formats (e.g., Revenue Codes, ICD-10, CPT Codes).
- Knowledge of basic programming concepts and software tools for quantitative analysis.
- Excellent communication skills, both written and verbal, with the ability to convey technical information effectively.
- Ability to work collaboratively in a team environment and influence others positively.
- Additional experience with PL/SQL, Medicaid systems (e.g., ClaimsXten, 3M Grouper), and Microsoft Excel is advantageous.
What you can expect:
- Fully remote work options available across most US locations and territories.
- Initial interviews and orientation conducted via video conference.
- Application deadline: June 25, 2024.
Compensation and Benefits:
- Salary range: $55,600.00 - $79,400.00 per year (actual base pay may vary based on location and experience).
- Comprehensive benefits package including flexible vacation policy, 401(k) with employer match, and educational assistance.
- Opportunity for career growth in a collaborative and innovative work environment.
Join us at the company:
At the company, we believe in the power of diversity, equity, and inclusion to drive our success. We are committed to creating a workplace where all employees feel valued and empowered to contribute their best.
Learn more about us at our company website and explore other career opportunities on our Careers site.
The company is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Employment Type: Full-Time
Salary: $ 40,000.00 140,000.00 Per Year
Source : Get It Recruit - Finance