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Professional, Configuration Analyst - Schenectady, NY, United States - MVP Health Care, Inc.
Description
Professional, Configuration AnalystHeadquarters Office, 625 State Street, Schenectady, New York, United States of America
• Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America
• Virtual Req #1982
Monday, May 13, 2024
Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP
Full-Time, Exempt
Position is virtual/remote
The Configuration Analyst develops and implements configuration into the Facets system to accommodate systematic adjudication rules and benefit plan requirements. Responsible for the interpretation of requests, development of solutions and creation of configuration to support efficient and accurate claim adjudication. Performs system testing and utilizes quality assurance methods to validate accurate system configuration. Performs post implementation review and analysis. Participates in the development and implementation of strategies required for Corporate and Department projects. Responsible for the accurate and timely configuration of benefit plan designs, authorization rules, and Work Flow Overrides, in Facets. Investigates and addresses system gaps including the design and implementation of solutions as necessary. Prepares detailed analyses and reports for internal customers when necessary. Maintains detailed documentation related to work assignments to support audit processes. Develops and maintains relational databases used to facilitate configuration implementation and testing. Creates test plans, test case scenarios and detailed test scripts as necessary. Identifies and communicates configuration defects. Creates claim reports related to work assignments that will be sent to Operations for reprocessing. Collaborates with internal customers to define configuration requirements. Responsible for timely investigation and resolution of claim review inquiries from internal customers. Assists in supporting the work necessary to complete Corporate and Departmental projects related to MCS activities. Represents the department on committees and project teams. Performs other duties as assigned.
POSITION QUALIFICATIONS
Minimum Education:
Bachelors of Science in Computer Science, Healthcare Administration, Business Management or other related field or equivalent experience in a health care organization.
Minimum Experience:
Experience utilizing query tools to extract data from relational databases. Configuration experience strongly preferred.
Required Skills:
• Exceptional skills in critical thinking and problem solving.
• Ability to manage multiple assignments with a high level of autonomy and independence.
• Demonstrated skills in Microsoft Excel and Access.
• Strong analytical ability.
• Excellent organizational and communication skills.
About MVP
MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.
At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors , including but not limited to geographic location ; relevant experience, education, and training; and the nature of and demand for the role.
In addition, we offer a comprehensive benefits package that includes:
MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at
Please apply and learn more - including how you may become a proud member of our team.
