What are the responsibilities and job description for the Configuration Analyst, Sr position at Dean's Professional Services?
Dean's Professional Services is now hiring a qualified Configuration Analyst, Sr. to work for a Health Plan in Houston, TX.
We are on a mission to create care that is more convenient and professional, with solutions that are value-based and patient-centered. To accomplish this, we are looking for individuals who share our sense of excellence and are ready to embrace new opportunities!
The Configuration Analyst, Sr. is responsible for the activities related to system updates, new health plan implementations, and conversions within Business Operations. Designs configuration solutions to meet new business requirements and performs updates for benefits, coding, contracts, fee schedules, or claim editing rules in adherence with business policies and state requirements.
Job Duties :
- Analyzes incoming requests and designs configuration solutions to meet business requirements.
- Performs configuration changes for coding, contracts, benefits, fee schedules and claim editing rules as needed.
- Creates testing scenarios to demonstrate efficiency of proposed configuration solutions.
- Maintains thorough and concise documentation for tracking of all contracts, benefit, fee schedule and claim editing rule changes related to Change Control Management or issues for quality audit purposes.
- Executes configuration changes in an accurate and timely manner to meet the department's standards for quality service level agreements.
- Assists with the development of configuration standards and best practices.
- Identifies claims impacted by configuration changes done in the system and sends reports to the claims administration department for reprocessing.
- Monitors pended claims and work queues to update appropriate systems. Responsible for escalating identified issues, making recommendations and assisting with implementing configuration changes to improve accuracy and efficiency of process
- Handles fluctuating volumes of work and prioritizes work to meet deadlines and user needs of the Health Plan.
Job Requirements :
Job Details :
Dean's Professional Services is a national, award-winning staffing solutions firm. Since 1993, DPS has placed over 45,000 professionals across the nation. We work with our clients to provide placement opportunities that match your skill, experience, and personality. For more information, please visit www.deansprofessionalservices.com.
Salary : $30
