Diversity Nexus · 1 day ago
Configuration Analyst/Administrator
Mason, OH
Contract
Hybrid
Senior Level
5+ years expDiversity Nexus is seeking a Configuration Analyst/Administrator to join their team. The role involves leading configuration projects, capturing business requirements, and providing data analysis for Medicaid program implementations. The candidate will serve as a subject matter expert and collaborate with cross-functional teams to implement solutions for client requirements.
Staffing & Recruiting
No H1B
U.S. Citizen Only
Responsibilities
Serve as a Sr. Configuration Analyst on the Business Configuration Solutions team
Responsible for the enablement of member benefit configuration strategies by designing, implementing, and executing Configuration
Lead projects for the Configuration space to enable system and process solutions for the Business Configuration tool sets
Serve as a subject matter expert for the Business Configuration team interfacing with EyeMed's cross functional teams implementing solutions for client requirements
Serve as a subject matter expert representing the Configuration workstream for large Government Implementations for Medicaid, Med/Surgical, and Medicare programs
Provide Data Analysis and troubleshooting expertise on Configuration tool sets with automated processes
Prepare data for analysis by removing duplicates, errors, and outliers and perform data validation
Should be able to build SQL queries to pull backend data based on configuration need
Serve as a Business Analyst documenting requirements, process flows, and execute testing for enhancements to improve the automation toolset for Configuration
Self-manage and prioritize work to achieve designated service level agreements
Also, meet key performance indicators of the Business Configuration solution team for Projects
Collaborate with Configuration leaders on the Configuration roadmap deliverables that enable automation of EyeMed's product and network offerings
Provide Fit/Gap Analysis and Feedback Assessments on new client plans as Configuration is leveraged to bring on new business
Develop and maintain positive working relationships with team members and other stakeholders, including business partners at all levels
Qualification
Required
SQL
SQL/Database experience
Healthcare claim understanding/benefit configuration
Facets
Analytical & problem solving skill
Bachelor's degree or equivalent work experience
Must have FACETS
Able to lead/represent cross functional meetings
Capture business requirements with clients
Testing execution and troubleshooting for multiple Medicaid program implementations
Preferred
5+ years' experience with Facets platform
Medical Plan Benefit Configuration
Provider Network & Agreement Configuration
Understanding for Medicare/Medicaid
Excellent analytical and problem-solving skills
Strong communication and interpersonal skills
Company
Diversity Nexus
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase