Configuration Analyst (JIVA) at SVAM International, Inc.

Bakersfield, CA 93301

About the Job

JIVA Configuration Analyst

Comprehend, analyze, and configure the claims core system including plan and carriers,
program edits, benefits, procedure codes, service groups, fee schedules, provider
contracts, affiliations, and all other configuration.
 Comprehend, analyze, and configure the medical management core system including
episode, sentinel rules, integration, data synchronization, letters, and all other
configuration.
 Ability to interpret simple and complex provider contracts and amendments, define
requirements to configure, test, and promote within environments, and audit.
 Responsible for testing and remediation of all core system updates and changes.
 Researches and develops recommendations for enhancements and/or improvements by
leading the analysis of existing processes, procedures, requirements, and utilization of
existing systems.

 Provides guidance in problem identification and the implementation of solutions that
address gaps and configuration needs.
 Independently works, or under the direction of Project Manager or Senior Analyst, with
Executives, Management, Staff, or Business analysts to identify, document, and redesign
complex business concepts or processing conflicts.
 Lead and mentor in areas that need cross-training and independently provide knowledge
and documentation exchange to educate team members in Analytical roles in support of
team redundancy.
 Provide formal user education with software productivity and technical tools such as
Microsoft Office, Visio, Team Foundation Server, or Attachmate to document business
and technical process requirements related to a technology system.
 Comprehend, analyze, and document business or process requirements using personal
interviews, document analysis, meetings, surveys, process documents, or actual
scenarios.
 Take on duties of a Project Manager for small projects using standard PMBOK processes
to identify requirements, resources, and stakeholders using standard analysis techniques.
 Analyze and document functional business environments that facilitate work throughout
the company.
 Develop complex business requirements and specifications through internal and external
research to complete technical analysis, and articulate research back to various skill
levels.
 Facilitate business meetings leveraging the Agile process to assist business units in the
“What” session to ensure the creation and documentation of stories and acceptance
criteria.
 Work with Configuration and Project teams in the Agile “How” session to understand
technical requirements related to the business stories and acceptance criteria.
 Effectively communicate and collaborate with internal and external customers in support
of analytics or problem resolution.
 Successfully engage in multiple complex initiatives simultaneously
 Analyze and evaluate information gathered from multiple sources to resolve
reconciliation conflicts.

 Possess excellent verbal and written communication skills and the ability to interact
professionally with a diverse group, executives, managers, and subject matter experts.
 Comprehensive understanding of the various department technological resources and
their roles in order to utilize various forms of electronic resources in everyday
communications.
 Understanding and experience with the American National Standards Institute (ANSI)
formats that govern healthcare Electronic Data Interchange (EDI).
 Proficient with the structure query language (SQL) for analytical data mining, software
development, TFS, and business reporting.
 Comprehend and implement system configuration changes of the managed care core
system software to process data transactions for business functions such as eligibility,
claims, authorizations, and case management.
 Designs, develops and/or assist in the testing and implementation of software systems
used by the organization.
 Understanding of medical terminology to include ICD, CPT, and HCPCS coding
systems.
 Identify and create personal process checklists that will be used to process Kern Health
Systems (KHS) programs and applications to support departmental activities.
 Tactfully identify issues, makes recommendations, and implements configuration
changes to improve automation and accuracy.
 Ability to handle fluctuating volumes of work and be able to prioritize work to meet
deadlines and needs of stakeholders.
 Creates management reporting tools to enhance communication on configurations
updates and initiatives.
 Responsible for maintenance of existing systems including impact analysis, coordination
with IT disciplines, and testing with IT and business units.

Employment Standards
Education:
Bachelor’s degree in Computer Science, Mathematics, or related field AND five (5) years
progressive experience in a Configuration Analyst capacity or similar Analytical position for a
medium to large organization with a structured IT department in healthcare.

Experience:
Healthcare experience: 9+ years.
Claims Operations or application vendor experience: 3 + years.
Benefit and Contract Configuration experience: 3+ years
Experience interpreting benefits, contracts and other business requirements: 3+ years
Experience in medical coding initiatives and coding guidelines: 3 + years
The incumbent must have basic technical skills that come from a Degree in Information System
or 6-8 years of general analytical experience