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CareSource · 8 hours ago

REMOTE - Team Lead, Configuration Testing (Benefits Configuration Testing) - R9656

United States

Full-time

Remote

Mid, Senior Level

$83K/yr - $133K/yr

3+ years exp

CareSource is a healthcare organization, and they are seeking a Team Lead for Configuration Testing. This role is responsible for overseeing the testing of medical benefits and ensuring the accuracy of provider reimbursements and claims workflows, as well as managing and developing staff within the team.

Health CareMedicalNon Profit

Comp. & Benefits

H1B Sponsor Likely

Responsibilities

Responsible for day-to-day activities surrounding the knowledge and insight around testing of medical benefits, provider reimbursement, letters, claims workflow and clinical editing

Guide and direct successful completion of daily tasks. Responsible for onboarding, training and development of staff

Prioritize all work, requests and activities. Escalate any area of significant resource contention along with recommendation for resolution

Track issues and status to ensure proper follow-up, coordination with business area and provide solutions

Update project that configuration is involved with and coordinate any needed changes with manager

Provide management with ticket dashboards. Identify root cause of issues and appropriate pro-active resolution to reduce tickets in the future

Ensure ticket controls, communication and approvals are followed prior to system implementation

Maintain and support fee schedules and methodology is consistent with required standards

Provide oversight to vendor management tasks conducted by team members. Ensure timely responses and resolution

Assist in auditing system configuration to ensure accuracy and internal controls are in place to minimize potential fraud and abuse and any business issues

Perform any other job duties as requested

Qualification

FacetsMedical terminologyClaims processingMicrosoft SuiteRegulatory reportingCertified Professional CoderProblem solvingCommunication skillsInterpersonal skillsAttention to detail

Required

Bachelor's Degree or equivalent years of relevant work experience is required

Minimum of three (3) years of health plan business or systems solutions experience is required

Advanced computer skills and abilities in Facets or similar processing systems

Medical terminology

Advanced proficiency in Microsoft Suite to include Word, Excel and Access

High level of programming and systems development knowledge

Effective identification of business problems, assessment of proposed solutions to those problems, and understanding of the needs of business partners

Demonstrated ability to successfully define a portfolio of initiatives including business requirements gathering, definition/prioritization, project scope definition, project staffing requirements, application configuration, testing approach, training, documentation, reporting strategy, and change management process

Knowledge of regulatory reporting and compliance requirements

Excellent listening and critical thinking skills

Effective problem solving skills with attention to detail

Excellent written and verbal communication skills

Ability to work independently and within a team environment

Strong interpersonal skills and high level of professionalism

Ability to develop, prioritize and accomplish goals

Proper medical coding knowledge and claims processing skills

Preferred

Exposure to Facets or equivalent system is preferred

Prior supervisory experience is preferred

Certified Professional Coder (CPC) is preferred

Benefits

You may qualify for a bonus tied to company and individual performance.

A substantial and comprehensive total rewards package.

Company

CareSource

Glassdoor3.8

CareSource provides managed care services to Medicaid beneficiaries.

Founded in 1989

Dayton, Ohio, USA

1001-5000 employees

https://www.caresource.com/

H1B Sponsorship

CareSource has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (30)

2024 (39)

2023 (35)

2022 (21)

2021 (37)

2020 (28)