Sr. Configuration Analyst

Reference #16850

Permanent Position

Posted on 04/23/2009

Description: This is a senior technical position. Performs complex configuration activities. This position plays a key role in the configuration and implementation of new markets and products. PRIMARY RESPONSIBILITIES: 1. Works with Lead Configuration Analysts to define and prioritize projects. 2. Considers interdepartmental impact when recommending solutions and identifies opportunities for interdepartmental utilization of recommended solutions. 3. Works with peers in department to develop realistic project scope estimates, detailed project plans, and timelines. 4. Analyzes business requirements and objectives towards determining the optimal configuration of the requirements. 5. Configures, tests and documents configuration solutions for the following functions:  Provider reimbursement configuration set-up and maintenance  Benefit package configuration setup and maintenance  Membership/divisions configuration set-up and maintenance  Group/member premium configuration set-up and maintenance  Medical management configuration set-up and maintenance  Employer and state group/billing configuration setup and maintenance  Setup and maintenance of financial management risk pools in relation to healthcare software  Setup of code sets used for configuration in benefits & pricing and other sub-systems 6. Exercises good judgment in the use of configuration standards. 7. Adheres to existing configuration management procedures. Recommends improvements to existing procedures. Assesses work of team members to ensure compliance with procedures. 8. Creates complex design documents through the assessment of requirements. Assesses alternatives to different designs and chooses best solution to fit business needs. 9. Performs complex data modeling and database design with minimal oversight. 10. Adheres to departmental and corporate policies and procedures. 11. Attends improvement training programs when available and offered. 12. Other duties as assigned. • # Direct Reports None • # Indirect Reports Configuration Analysts I and II as needed • Budgetary $ Responsibility None • KPI – Department Standards Yes - as determined

Required Skills: Possesses a high degree of expertise in the configuration of business rules that support reimbursement policies and methodologies in a large managed care organization. Can propose business beneficial changes to coding standards and development procedures. • A minimum of five years of configuration experience providing pricing and/or benefits configuration support on Amisys, Facets, MHS, Metavance, Diamond, or a similar payer system. - Medicare experience • Possess problem solving and project management skills. Must be able to take charge, manage numerous projects and successfully coordinate projects with internal areas and external vendors. • Project team member oversight management and/or supervisory experience required. Desired: • Experience using a software development life-cycle methodology like the Software Development Life Cycle (SDLC). • Broad operational managed care background. • A minimum of two years of experience: • Using MS Office. • Using the Windows operating system and its utilities. • Using the internet to conduct research and to download information. • Using a relational database management system or SQL to retrieve and analyze data. • Familiarity with data structures and data types. • Excellent analytical and organization skills. • Excellent verbal and written communication skills. • Excellent interpersonal skills, including the ability to work with all levels of personnel • Must be able to participate in meetings. • Must be able to operate a PC for extended periods of time. • Must be able to operate and effectively utilize office telephone equipment. desired: experience working in a medium to large health care or related organization • Formal coursework using a 3-GL or a 4-GL programming language (e.g., C+, Visual Basic).

Education: Bachelor’s degree in business administration, information science, computer science, industrial engineering or a relevant area, or equivalent technical skills and experience.

Contact

Jency Emo

(352)588-2010

jency@twodogsolutions.com

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