Configuration Analyst - Smithfield, United States - Neighborhood Health Plan of RI

Description

Job Details

Job Location

Smithfield, RI - Smithfield, RI

Position Type

Full Time

Education Level

Associates Degree

Travel Percentage

Occasional

Job Shift

Daytime

Job Category

Professional / Experienced

Description

(In Office)

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.

The role requires strong analytical and problem solving skills, the ability to work independently and proactively as well as demonstrated skills in providing excellent customer service.

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

Responsible for coordination of production turnover of all configuration work upon business owner sign off

Serve as subject matter expert for root cause analysis and issue resolution

Coordinate with the Neighborhood Application Support ticket tracking and bringing to resolution any software, configuration, EDI, ICES tickets that require updates to the test or production environments

Perform business analysis duties for designated corporate projects and maintenance requests

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

Recommend and maintain standards for development of business cases and their documentation

Coordinate multiple simultaneous projects and initiatives

Other duties as assigned

Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhoods Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies and procedures as it applies to individual job duties, the department, and the Company.

This position must exercise due diligence to prevent, detect and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agents

Qualifications

Qualifications


Required:
Associates degree and/or years of experience and background to equate to the degree

Minimum of two years of business analysis and system configuration experience; or similar demonstrated experience working with health care claim processing

Prior experience in a Health Care organization or setting

Excellent interpersonal skills, including the ability to work across the organization and to interact, influence

and negotiate effectively

Demonstrated ability to manage multiple priorities simultaneously in a deadline driven environment

Proficient in MS Project, Excel, PowerPoint and Word

Strong communication skills, both verbal and written


Preferred:
Experience with the Health Rules Payor transactional system

Experience with Acuity software

Experience with Optum CES (Claims Editing Software)

Experience with SQL queries

Experience with Crystal reports/letters

Neighborhood Health Plan of Rhode Island is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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