Configuration Analysis Senior Specialist

Job description

Position's General Duties and Tasks **In these roles you will be responsible for:** - Configuring client System for Pricing (Provider Contract) as per the requirement and according to defined business rules of new claims processing platform. - Evaluation of Configuration Requirement and Formulation of Configuration Approach and Effectively include advanced configuration and additional functionality based on best practices - Based on the business requirements and business rules gathered, evaluate and create rules and complete the configuration activities - Participate in problem solving of Health Plan benefit, provider, pricing, reporting, operational and system issues - Perform a variety of tasks related to the resolution of production support issues based on client configurations with the core administrative system - Support activities to update configuration within the core claims processing system, typically within the areas of Provider Pricing. Potential responsibilities include and may vary by system area of assignment - Support fee schedule changes including terms, affiliations and contract maintenance - Enable User Analysis Testing (UAT) and implement the modifications as suggested by the business owners and/or analyst - Creating manual test cases from Use cases, Functional specs and other requirement documents. - Resolve coding/QA issues by managing Master Issue Logs and Fixing the high priority change requests which require immediate attention - Data Validation and Audit of existing plans and contracts in the client database(s) - Database Management Maintenance **Requirements for this role include:** - Candidates must have Over all 5+ years’ experience in US healthcare Claims Payer. - 6 + year(s) experience in Configuring client System for Pricing (Provider Contract) and UAT testing – 2+ Years. - High school diploma or equivalent required, Technical/ Non-Technical - Associates degree, technical college or some college course work preferred - Ability to work within a project-oriented environment. **Preferences:** - - Experience in SQL 2+ Years (Queries Writing) - Exposure on VB/Vb.net. Required schedule availability for this position is Monday-Friday (5:00am to 3:00pm EST). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.