Talent.com
Team Lead, Configuration Testing - Facets/Benefits Configuration Testing is a must
Team Lead, Configuration Testing - Facets/Benefits Configuration Testing is a mustCareSource • Oakland, CA, US
Team Lead, Configuration Testing - Facets / Benefits Configuration Testing is a must

Team Lead, Configuration Testing - Facets / Benefits Configuration Testing is a must

CareSource • Oakland, CA, US
30+ days ago
Job type
  • Full-time
Job description

Team Lead, Configuration Testing

The Team Lead, Configuration Testing is responsible for day-to-day activities surrounding the knowledge and insight around testing of medical benefits, provider reimbursement, letters, claims workflow and clinical editing.

Essential Functions

  • Responsible for day-to-day activities surrounding the knowledge and insight around testing of medical benefits, provider reimbursement, letters, claims workflow and clinical editing
  • Guide and direct successful completion of daily tasks. Responsible for onboarding, training and development of staff
  • Prioritize all work, requests and activities. Escalate any area of significant resource contention along with recommendation for resolution
  • Track issues and status to ensure proper follow-up, coordination with business area and provide solutions
  • Update project that configuration is involved with and coordinate any needed changes with manager
  • Provide management with ticket dashboards. Identify root cause of issues and appropriate pro-active resolution to reduce tickets in the future
  • Ensure ticket controls, communication and approvals are followed prior to system implementation
  • Maintain and support fee schedules and methodology is consistent with required standards
  • Provide oversight to vendor management tasks conducted by team members. Ensure timely responses and resolution
  • Assist in auditing system configuration to ensure accuracy and internal controls are in place to minimize potential fraud and abuse and any business issues
  • Perform any other job duties as requested

Education and Experience

  • Bachelor's Degree or equivalent years of relevant work experience is required
  • Minimum of three (3) years of health plan business or systems solutions experience is required
  • Exposure to Facets or equivalent system is preferred
  • Prior supervisory experience is preferred
  • Competencies, Knowledge and Skills

  • Advanced computer skills and abilities in Facets or similar processing systems
  • Medical terminology
  • Advanced proficiency in Microsoft Suite to include Word, Excel and Access
  • High level of programming and systems development knowledge
  • Effective identification of business problems, assessment of proposed solutions to those problems, and understanding of the needs of business partners
  • Demonstrated ability to successfully define a portfolio of initiatives including business requirements gathering, project scope definition, project staffing requirements, application configuration, testing approach, training, documentation, reporting strategy, and change management process
  • Knowledge of regulatory reporting and compliance requirements
  • Excellent listening and critical thinking skills
  • Effective problem solving skills with attention to detail
  • Excellent written and verbal communication skills
  • Ability to work independently and within a team environment
  • Strong interpersonal skills and high level of professionalism
  • Ability to develop, prioritize and accomplish goals
  • Proper medical coding knowledge and claims processing skills
  • Licensure and Certification

  • Certified Professional Coder (CPC) is preferred
  • Working Conditions

  • General office environment; may be required to sit or stand for extended periods of time
  • Compensation Range

    $81,400.00 - $130,200.00

    CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

    Compensation Type (hourly / salary)

    Salary

    Organization Level Competencies

  • Create an Inclusive Environment
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business
  • This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

    Create a job alert for this search

    Configuration Lead • Oakland, CA, US

    Similar jobs
    Get Paid to Test Products at Home – Flexible Hours, Weekly Pay

    Get Paid to Test Products at Home – Flexible Hours, Weekly Pay

    OCPA • Vallejo, California, us
    Part-time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Show more
    Last updated: 30+ days ago • Promoted
    Assistant Store Manager : High-Earning Inbound Sales Leader

    Assistant Store Manager : High-Earning Inbound Sales Leader

    Costulessdirect • Redwood City, CA, United States
    Full-time
    A prominent insurance company in Redwood City is looking for an Assistant Store Manager to lead sales initiatives and enhance customer relationships. In this role, you will drive growth, mentor your...Show more
    Last updated: 2 days ago • Promoted
    Systems & Delivery Lead

    Systems & Delivery Lead

    Kubelt • San Francisco, CA, United States
    Full-time
    World is a network of real humans, built on privacy-preserving proof-of-human technology, and powered by a globally inclusive financial network that enables the free flow of digital assets for all....Show more
    Last updated: 2 days ago • Promoted
    Team Lead, Configuration Testing - Facets / Benefits Configuration Testing is a must

    Team Lead, Configuration Testing - Facets / Benefits Configuration Testing is a must

    CareSource • Oakland, CA, US
    Full-time
    Team Lead, Configuration Testing.The Team Lead, Configuration Testing is responsible for day-to-day activities surrounding the knowledge and insight around testing of medical benefits, provider rei...Show more
    Last updated: 5 days ago • Promoted
    CCB QA Lead, Functional Test Lead

    CCB QA Lead, Functional Test Lead

    Purple Drive • San Francisco, CA, United States
    Full-time
    CCB applications, including test planning, execution, and reporting.Manage and mentor a team of QA engineers, providing guidance and best practices. CCB domain standards and compliance requirements....Show more
    Last updated: 9 days ago • Promoted
    Work-from-Home Tester - Try Online Side Gigs and Give Feedback

    Work-from-Home Tester - Try Online Side Gigs and Give Feedback

    Finance Buzz • Vallejo, California, US
    Remote
    Temporary
    We're on the hunt for curious, motivated individuals to test and review online money-making opportunities featured on FinanceBuzz. If you enjoy discovering new platforms and sharing your experience,...Show more
    Last updated: 1 day ago • Promoted
    Lead Test Engineer

    Lead Test Engineer

    Saildrone • Alameda, CA, US
    Permanent
    With more than 2 million nautical miles sailed and 50,000 days at sea, Saildrone has earned the trust of governments worldwide. Our unmanned surface vehicles (USVs) deliver continuous, real-time int...Show more
    Last updated: 30+ days ago • Promoted
    SAP Test Automation Delivery Lead

    SAP Test Automation Delivery Lead

    My IT LLC • San Francisco, CA, United States
    Full-time
    SAP QA Automation (Tosca) Lead.Our client is looking for a Tosca certified automation engineer who has experience to lead automation strategy and delivery across SAP implementation projects, ensuri...Show more
    Last updated: 2 days ago • Promoted
    Systems & Delivery Lead

    Systems & Delivery Lead

    World • San Francisco, CA, United States
    Full-time
    World is building a real human network designed to accelerate people in the age of AI.As bots and autonomous agents reshape the internet, people, institutions, and applications need a trusted way t...Show more
    Last updated: 2 days ago • Promoted
    Senior Technical Project Manager — AI & Systems

    Senior Technical Project Manager — AI & Systems

    Genesis10 • Menlo Park, CA, United States
    Full-time
    A leading technology firm located in Menlo Park is seeking a Technical Project Manager to oversee project activities related to information systems and programming. The ideal candidate will possess ...Show more
    Last updated: 2 days ago • Promoted
    Testing Lead

    Testing Lead

    VirtualVocations • Oakland, California, United States
    Full-time
    A company is looking for a Testing Lead.Key Responsibilities Oversee the testing strategy and manage resource allocation for various testing roles Collaborate with the Environment Management Tea...Show more
    Last updated: 7 hours ago • Promoted • New!
    Blue Yonder WMS Sr Test Lead

    Blue Yonder WMS Sr Test Lead

    JGA • San Francisco, CA, United States
    Full-time
    Location : San Francisco, CA (Hybrid – 3 days onsite).Client is seeking a highly skilled.Warehouse Management Systems, primarily focused on monitoring and validating inbound, inventory control, and ...Show more
    Last updated: 3 days ago • Promoted
    Technical PM - Lead AI-Driven Cross-Functional Projects

    Technical PM - Lead AI-Driven Cross-Functional Projects

    Aditi Consulting • Menlo Park, CA, United States
    Full-time
    A leading consultancy firm is seeking a Technical Project Manager in Menlo Park, California.This role involves planning, directing, and coordinating activities in information systems, emphasizing A...Show more
    Last updated: 2 days ago • Promoted
    AI Performance Optimization Team Lead

    AI Performance Optimization Team Lead

    Lightning AI • San Francisco, CA, United States
    Full-time
    Lightning AI is the company reimagining the way AI is built.After creating and releasing PyTorch Lightning in 2019, Lightning AI was launched to reshape the development of artificial intelligence p...Show more
    Last updated: 2 days ago • Promoted
    QA Tester Lead

    QA Tester Lead

    The Hive Careers Ltd • Menlo Park, CA, United States
    Full-time
    Manual API Manual with Postman and SoapUI.Basic Unix knowledge to run jobs and read log files.Basic DB skills Sybase and Oracle write queries to extract data. Basic Automation with Java / Selenium.Men...Show more
    Last updated: 9 days ago • Promoted
    Product Quality Assurance Lead

    Product Quality Assurance Lead

    Pantera Capital • San Francisco, CA, United States
    Full-time
    Perplexity is looking for a Quality Assurance Tester to join our small team revolutionizing the way people search and interact with the internet. Your passion and diligence will be critical to ensur...Show more
    Last updated: 30+ days ago • Promoted
    Systems & Delivery Lead

    Systems & Delivery Lead

    Tools For Humanity Corporation • San Francisco, CA, United States
    Full-time
    World is building a real human network designed to accelerate people in the age of AI.As bots and autonomous agents reshape the internet, people, institutions, and applications need a trusted way t...Show more
    Last updated: 2 days ago • Promoted
    Technical Projects Manager : Drive Cross-Functional Delivery

    Technical Projects Manager : Drive Cross-Functional Delivery

    ManpowerGroup Global, Inc. • Menlo Park, CA, United States
    Full-time
    A global recruitment and workforce solutions provider seeks a Project Manager - Technical Projects to lead innovative technical projects. The ideal candidate will manage cross-functional teams and e...Show more
    Last updated: 2 days ago • Promoted