- Responsible for timely investigation and resolution of claim review inquiries
- Develops and maintains relational databases for configuration implementation
- Creates detailed test plans, scenarios, and scripts for testing purposes
- Engages with internal customers to define configuration requirements
- Exceptional critical thinking and problem-solving skills
- Ability to manage multiple tasks independently
- Demonstrated proficiency in Microsoft Excel and Access
- Strong analytical and organizational abilities
- Excellent communication skills
- Generous paid time off, holidays, and floating days
- 401(k) matching and profit-sharing programs
- Low-cost health benefits, including medical, dental, and vision coverage
- Life insurance and disability coverage
- Optional plans for accident insurance and disease coverage
- Tuition reimbursement for continuous learning
- Employee Well-Being program for holistic health support
- Job Family: Claims/Operations
- Pay Type: Salary
- Min Hiring Rate: $56,200.00
- Max Hiring Rate: $95,748.00
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Professional, Configuration Analyst - Rochester, United States - MVP Health Care
Description
Professional Configuration Analyst
Headquarters 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 driven by 1,700 dedicated employees across New York state and Vermont, MVP provides ample opportunities for growth. As a nationally recognized leader in the industry, MVP brings together individuals from diverse backgrounds, all working collaboratively to enhance health insurance services. If you're looking to be part of a dynamic, purposeful company where you can forge your path and make a meaningful impact, consider a rewarding career move to MVP!
Full-Time, Exempt
Position is virtual/remote
The Configuration Analyst plays a key role in refining and implementing configuration within the Facets system to support systematic adjudication rules and benefit plan needs. This position involves interpreting requests, crafting solutions, and developing configurations to ensure efficient and accurate claim adjudication. The Analyst conducts system testing, applies quality assurance practices, and conducts post-implementation assessments. Collaboration in developing strategies for Corporate and Departmental initiatives is also a part of the role. Maintaining accurate and timely benefit plan designs, authorization rules, and Work Flow Overrides in Facets is essential, along with addressing system gaps and preparing detailed reports for internal stakeholders. The role requires expertise in relational databases, test planning, and defect identification.
POSITION QUALIFICATIONS
Minimum Education: Bachelor's degree in Computer Science, Healthcare Administration, Business Management, or related field, or equivalent healthcare organization experience.
Minimum Experience: Experience in utilizing query tools for relational databases; configuration experience is highly valued.
Required Skills:
About MVP
MVP Health Care, a respected not-for-profit health insurer, serves members in New York and Vermont with a strong commitment to well-being. Through personalized and supportive health insurance services, MVP aims to make a positive impact on individuals and communities. With a diverse workforce of over 1,700 employees, MVP fosters a culture of innovation and care for all stakeholders.
MVP Health Care offers competitive compensation and benefits packages, including:
Salary details: