Systems Configuration Specialist - Medical Associates

Medical Associates Health Plans is hiring a Configuration Specialist to join their team! Candidates must have analytical experience, claims processing background preferred. 

Configuration Specialist Role:
To configure and maintain claims adjudication subsystems as necessary to maximize accuracy and efficiency of claims payment along with maintenance of non core business systems (HIPAA, EDI web portal, etc.)

Schedule: General business hours Monday-Friday with flexibility. 

Benefits Package Includes:

• Single or Family Health Insurance with discounted premium rates for wellness program participation.
• 401k with immediate matching (50% on the dollar up to 7% of pay) + additional annual Profit Sharing
• Flexible Paid Time Off  Program (24 days off/year)
• Medical and Dependent Care Flex Spending Accounts
• Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

Essential Functions & Responsibilities:

• Research and implement process to improve information subsystems to ensure maximum efficiency of the Health Plan core business system (claims system) and non-core business systems (HIPAA EDI and web tools).
• Responsible for configuration, testing and maintenance of subsystems; with proficiency in three or more subsystems.
• Guide, train and advise business users and team members along with assistance in problem resolution.
• Perform simple and complex analytical duties for claims, EDI and web tools upon request.
• Prepare documentation for assigned area of responsibility
• Complete all other assigned projects and duties

Knowledge, Skills and Abilities:

Experience: Three years to five years of similar or related experience. Analytical experience required. Claims experience preferred.

Education: Equivalent to a high school education.

Interpersonal Skills: Courtesy, tact, and diplomacy are essential elements of the job. Work involves personal contact with others inside and/or outside the organization, generally regarding routine matters for purposes of giving or obtaining information, which may require some discussion.