Configuration Analyst

Job Summary:

Configuration Analyst

Location: Any Location (WFH)

Shift Time - Night Shift

• Duties and Responsibilities:

• Configuration of Healthcare Payer (Health Plan) Core Administrative Platforms:

• Design and Configure the benefits, system parameters, and pricing requirements on the Health Plan (Payer) core administrative platforms for various lines of business, including Medicare, Medicaid, Commercial, and Individual-Exchange, ensuring compliance with business requirements and regulatory standards.

• Requirements Gathering and Analysis:

• Collaborate with clients and internal stakeholders to gather and document configuration requirements, ensuring a clear understanding of client needs and project objectives.

• Configuration Design and Execution:

• Develop detailed configuration designs, incorporating feedback from clients and internal stakeholders, and obtain approval prior to implementation.
• Execute configuration activities as per the approved design, ensuring accuracy and alignment with client specifications.

• Testing and Quality Assurance:

• Partner with the testing team to conduct thorough testing of configurations, review results, and make necessary adjustments to ensure quality and performance standards are met.

• Minimum Required Skills and Qualifications:

• Minimum of 2+ years of experience in Configuration on either HealthRules Payer or Facets or QNXT is required (US Health insurance).
• Proven experience with configuration for

  Medicare, Medicaid, Commercial, and Individual-Exchange

  lines of business.
• Experience with HealthEdge HealthRules Payer (HRP) configuration would be preferred
• Experience with HealthEdge Source (Burgess) or HealthEdge GuidingCare would be added advantage
• Strong communication skills, with demonstrated ability to engage effectively with clients and internal stakeholders.