Senior Configuration Analyst

15 hours ago

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Description

• Analyzes client requests for proposals and applies advanced subject matter knowledge to solve complex business issues. • Adheres to and supports Configuration team approach and other configuration principles, methodologies, and practices. • Works closely with the implementation team to analyze and document client's business requirements and processes. • Communicates these requirements by constructing configuration deliverables. • Researches and defines solutions for new configuration, legislation, or client rules. • Creates and presents solution, proof of concept, or testing results to customer for new business processes or outcome requests. • Completes configuration within schedule timelines and configuration best practices.

Requirements

• Very proficient (at least 5 years experience) configuring in QNXT (focus on the following areas: Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Successful Data Points for X12 Transactions, CARCs/RARCs). • Thorough understanding of relational database concepts and schemas. • Competent writing complex SQL queries for data analysis. • Experience working with Medicaid/MMIS systems. • Preferred experience includes DDI (Design, Development, and Implementation) and operation & maintenance phase. • Experience processing Medicaid claims & encounters and ability to troubleshoot adjudication results. • Experience with Requirement Traceability Matrices. • Preferred experience working with HP Application Lifecycle Management (ALM).