Job Title- Sr. Configuration Analyst
Location- Mason, OH
Primary Skills- Oracle Applications
Job Description
Serve as a Sr. Configuration Analyst on the Business Configuration Solutions team. Responsible for the enablement of member benefit configuration strategies by designing, implementing, and executing Configuration. Lead projects for the Configuration space to enable system and process solutions for the Business Configuration tool sets. Serve as a subject matter expert for the Business Configuration team interfacing with cross functional teams implementing solutions for client requirements.
- Serve as a subject matter expert representing the Configuration workstream for large Government Implementations for Medicaid, Med/Surgical, and Medicare programs.
- Provide Data Analysis and troubleshooting expertise on Configuration tool sets with automated processes.
- Prepare data for analysis by removing duplicates, errors, and outliers and perform data validation. Should be able to build SQL queries to pull backend data based on configuration need.
- Serve as a Business Analyst documenting requirements, process flows, and execute testing for enhancements to improve the automation toolset for Configuration.
- Self-manage and prioritize work to achieve designated service level agreements. Also, meet key performance indicators of the Business Configuration solution team for Projects.
- Collaborate with Configuration leaders on the Configuration roadmap deliverables that enable automation of optical product and network offerings.
- Provide Fit/Gap Analysis and Feedback Assessments on new client plans as Configuration is leveraged to bring on new business.
- Develop and maintain positive working relationships with team members and other stakeholders, including business partners at all levels of the organization's leadership.
REQUIREMENTS:
MUST HAVE: This role is about 60% configuration 40% attending cross functional meetings and capture requirements. Able to lead/represent cross functional meetings (this is one of the major skill set that we look for).
Specific Skills Needed:
- 5-6+ years of SQL/Database experience
- 5-6+ years of Healthcare claim understanding/benefit configuration
- 5-6+ years of Facets experience
- Analytical & problem solving skills
Technical Requirements:
- Operating System: Windows
- Applications: Facets (5-6+ years experience)
- Automation tools: Proprietary tool developed in Informatica
- Testing tools: Oracle SQL for data validation and Facets for claims testing
Top Desirable Qualifications:
- 5+ years' experience with Facets platform, Medical Plan Benefit Configuration, Provider Network & Agreement Configuration, Understanding for Medicare/Medicaid
- SQL and Database experience
- Excellent analytical and problem-solving skills, quick learning
- Strong communication and interpersonal skills
Education/Experience:
- Bachelor's degree or equivalent work experience