The Configuration Analyst provides both operational support to, and analysis of, all Configuration-related activities. The Configuration Analyst creates, updates, tests and maintains system configuration to support all benefit designs and ensure successful configuration, integration, and accurate and timely payment of claims and all PHC systems. Coordinates testing, quality assurance, configuration, installation, and support to ensure smooth, stable and timely implementation of technology solutions, considering all the areas that a change may impact in the current benefit setup and determine the most appropriate way to implement the change (e.g., research and look at tables impacted, order of processing, down-stream impacts, and unintended consequences).
SECONDARY DUTIES AND RESPONSIBILITIES
Education and Experience
Bachelor’s degree in related field preferred. Experience with AMISYS Advance or other claims payment system, fee schedules, and procedure/diagnosis code tables preferred. Minimum two (2) years’ experience analyzing and enhancing HMO or other automated claims examination systems; or equivalent combination of education and experience.
Special Skills, Licenses and Certifications
Knowledge of AMISYS Advance or similar claims payment system preferred. Understanding of claims processing requirements and ability to translate into systems change and reporting requirements preferred.
Performance Based Competencies
Excellent analytical skills to rationally resolve simple and/or complex policy and technical problems. Excellent written and oral communication skills. Ability to present statistical and technical data in a clear and understandable manner. Ability to articulate technical concepts with both technical and non-technical vendors, peers, and trainers. Excellent organization skills to work on multiple assignments simultaneously, prioritize work, and complete projects within established time frames.
Work Environment And Physical Demands
Ability to use a computer keyboard. More than 80% of work time is spent in front of a computer monitor. When required, ability to move, carry, or lift objects of varying sizes, weighing up to 10 lbs.
All HealthPlan employees are expected to: