System Analyst - Healthcare/Claims
Duration - 9 months
Location - Smithfield, RI - Mon-Thu onsite - Fri remote
Configuration Analyst - Smithfield, RI
This position is an entry to mid- level position responsible for the analysis, design, testing and implementation of configuration changes to support business requirements.
In addition, this position is responsible for identifying areas of automation and enhancement to support and improve internal workflows.
An ideal candidate will have strong experience with healthrules, and has prior experience with a healthcare provider.
Qualifications
Required :
- Must have healthrules payer or manager configuration experience
- Experience with Optum CES (Claims Editing Software)
- JIRA (or similar ticketing system)
- Cognos
- SQL Quires (nice to have)
- Associates degree and / or years of experience and background to equate to the degree
- 2+ years' experience at a healthcare company or relevant background
- Proficient in MS Project, Excel, PowerPoint and Word
Duties And Responsibilities
The duties for this position include, but are not limited to the following items :
- Serve as a resource in facilitating the gathering of business requirements and required test cases for configuration changes
- Work with key project stakeholders to formulate and communicate business requirements and scope of project
- Work with project stakeholders to translate their requirements into specifications technical staff can understand and also translate questions that technical staff has into a format the stakeholders can understand
- Perform all configuration changes within applicable software test environments
- Responsible for configuration, interface and application testing
- Develop and execute test cases and documentation to support configuration changes / updates / additions
- Work with stakeholders to validate test case results
- Coordinating and documenting for all configuration activity for change control and auditing
- Coordinate with the Application Support ticket tracking and bringing to resolution any software, configuration, EDI, ICES tickets that require updates to the test or production environments
- Oversee process development and documentation for any new or altered functionality or business process. This will also include facilitating an annual audit of actual business processes versus what is documented
- Identify potential areas of automation and aid in re-engineering the underlying business processes
System Analyst - Healthcare/Claims
Configuration Analyst - Smithfield, RI. An ideal candidate will have strong experience with healthrules, and has prior experience with a healthcare provider. Experience with Optum CES (Claims Editing Software). JIRA (or similar ticketing system). ...
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