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

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

CareSourceOakland, CA, US
1 day 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

    Related jobs
    • Promoted
    Lead Test Pilot

    Lead Test Pilot

    Reliable RoboticsMountain View, CA, United States
    Permanent
    We're building safety-enhancing technology for aviation that will save lives.Automated aviation systems will enable a future where air transportation is safer, more convenient and fundamentally tra...Show moreLast updated: 30+ days ago
    Network Software Test – Technical Lead

    Network Software Test – Technical Lead

    Arrcus IncSan Jose, CA, US
    Full-time
    Quick Apply
    Network Software Test – Technical Lead San Jose, CA About Arrcus Arrcus was founded to enhance business efficiency through superior network connectivity. The Arrcus Connected Edge (ACE) platfo...Show moreLast updated: 30+ days ago
    • Promoted
    QE Lead

    QE Lead

    Omni InclusiveSanta Clara, CA, United States
    Full-time
    Coordinate with different Stakeholders on the Business requirements.Participate in the Requirement gathering and analysis review meetings. Review the test scenarios test scripts and provide inputs t...Show moreLast updated: 4 days ago
    • Promoted
    Senior Test Engineer, End-of-Line (EOL)

    Senior Test Engineer, End-of-Line (EOL)

    NimbleSan Francisco, CA, United States
    Full-time
    Senior Test Engineer, End-of-Line (EOL).Nimble is a robotics and AI company inventing and scaling autonomous logistics with intelligent robots to enable fast, efficient, and sustainable commerce.We...Show moreLast updated: 30+ days ago
    Team Lead

    Team Lead

    FedExOakland, California, US
    Full-time
    To complete and assign work-specific activities to team members and to provide direction and guidance as well as training in the completion of these activities. This includes resolving complex work-...Show moreLast updated: 18 days ago
    CDC Test

    CDC Test

    Lever Demo - IS OpportunitiesSan Francisco, California, United States, 94102
    Full-time
    PLEASE READ : these jobs are testing jobs of Lever's testing environment - please do not apply for this job.Lever was founded ten years ago to tackle the most strategic challenge that companies face...Show moreLast updated: 30+ days ago
    • Promoted
    Product Testing Participants Needed! No Experience - $50 / hr

    Product Testing Participants Needed! No Experience - $50 / hr

    uTest by ApplauseFremont, CA, US
    Full-time +1
    Be a Part of It - New Study in Fremont, CA [USA].Were looking for individuals in.Youll be guided every step of the way by a helpful moderator - no experience needed. During the session, participants...Show moreLast updated: 4 days ago
    • Promoted
    Get Paid to Test In-Person Study in Fremont ($50 / hr)

    Get Paid to Test In-Person Study in Fremont ($50 / hr)

    uTest by ApplauseMenlo Park, CA, US
    Full-time +1
    Be a Part of It - New Study in Fremont, CA [USA].Were looking for individuals in.Youll be guided every step of the way by a helpful moderator - no experience needed. During the session, participants...Show moreLast updated: 2 days ago
    • Promoted
    Network Software Test – Technical Lead

    Network Software Test – Technical Lead

    ArrcusSan Jose, CA, United States
    Full-time
    Network Software Test – Technical Lead – San Jose, CA.Arrcus was founded to enhance business efficiency through superior network connectivity. The Arrcus Connected Edge (ACE) platform offers best-in...Show moreLast updated: 11 days ago
    • Promoted
    In-Person Paid Study - Help Shape Future Tech!

    In-Person Paid Study - Help Shape Future Tech!

    uTest by ApplauseMenlo Park, CA, US
    Full-time +1
    Looking for Fresh Eyes - Paid Study Opportunity! (Fremont, CA).We have launched a new, in-person testing opportunity - get ready for Project ONYX. No experience? No problem! Everyone is welcome to a...Show moreLast updated: 4 days ago
    • Promoted
    Fresh Eyes Wanted! Join Project ONYX – Paid In-Person Study

    Fresh Eyes Wanted! Join Project ONYX – Paid In-Person Study

    uTest by ApplauseMenlo Park, CA, US
    Full-time +1
    Looking for Fresh Eyes - Paid Study Opportunity! (Fremont, CA).We have launched a new, in-person testing opportunity - get ready for Project ONYX. No experience? No problem! Everyone is welcome to a...Show moreLast updated: 2 days ago
    QA Test Lead

    QA Test Lead

    Tech FireflySan Jose, CA, US
    Temporary
    Quick Apply
    The Global Productivity and Sales Tools team at focuses on productivity tools used by internal Sales teams that help them do their work more effectively. Our team supports the usage of Salesforce, i...Show moreLast updated: 9 days ago
    • Promoted
    AI / ML Automation Test Lead

    AI / ML Automation Test Lead

    ClifyXSunnyvale, CA, United States
    Full-time
    Job Description : Minimum 10+ years of IT experience.Strong automation testing skills using Selenium.Should be able to build frameworks from scratch. Past experience with Apple experience is a great ...Show moreLast updated: 4 days ago
    • Promoted
    Lead Test Pilot

    Lead Test Pilot

    Reliable Robotics CorporationMountain View, CA, United States
    Permanent
    We're building safety-enhancing technology for aviation that will save lives.Automated aviation systems will enable a future where air transportation is safer, more convenient and fundamentally tra...Show moreLast updated: 30+ days ago
    • Promoted
    Help Shape Innovation Paid Study for New Tech (Fremont, CA)

    Help Shape Innovation Paid Study for New Tech (Fremont, CA)

    uTest by ApplauseFremont, CA, US
    Full-time +1
    Looking for Fresh Eyes - Paid Study Opportunity! (Fremont, CA).We have launched a new, in-person testing opportunity - get ready for Project ONYX. No experience? No problem! Everyone is welcome to a...Show moreLast updated: 2 days ago
    • Promoted
    Network Software Test - Technical Lead

    Network Software Test - Technical Lead

    Arrcus IncSan Jose, CA, United States
    Full-time
    Network Software Test - Technical Lead.Arrcus was founded to enhance business efficiency through superior network connectivity. The Arrcus Connected Edge (ACE) platform offers best-in-class networki...Show moreLast updated: 4 days ago
    • Promoted
    Product Quality Assurance Lead

    Product Quality Assurance Lead

    Pantera CapitalSan 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 moreLast updated: 7 days ago
    • Promoted
    Testers Needed! Fun, Simple Study In-Person, $50 / hr + Referral Bonus

    Testers Needed! Fun, Simple Study In-Person, $50 / hr + Referral Bonus

    uTest by ApplauseMenlo Park, CA, US
    Full-time +1
    Looking for Fresh Eyes - Paid Study Opportunity! (Fremont, CA).We have launched a new, in-person testing opportunity - get ready for Project ONYX. No experience? No problem! Everyone is welcome to a...Show moreLast updated: 2 days ago