Demo

Configuration Consultant - MedHOK

Impresiv Health
Santa Barbara, CA Full Time
POSTED ON 2/16/2025
AVAILABLE BEFORE 5/12/2025

Title : Configuration Consultant - MHK

Location : Remote, must work PST hours

Duration : 12-month contract

Description :

We are seeking a highly skilled MHK CareProminence Configuration Consultant to support the configuration, workflow optimization, and testing of MHK applications. The ideal candidate will have hands-on experience with MHK' s CareProminence suite, consulting expertise, and a deep understanding of health plan operations, including Medicaid, Medicare, and Dual-Eligible Special Needs Plans (DSNP). This role requires a strong focus on delivering solutions that enhance operational efficiency and regulatory compliance.

What You Will Do :

  • Configure MHK CareProminence modules to align with business requirements, including care management, utilization management, and quality improvement workflows.
  • Ensure system configurations comply with Medicaid, Medicare, and DSNP regulations and best practices.
  • Analyze current workflows and recommend enhancements to improve efficiency and user experience.
  • Develop and implement new workflows to address evolving business and regulatory needs.
  • Develop and execute test plans for system updates, configurations, and integrations.
  • Conduct end-to-end testing to ensure functionality, performance, and compliance.
  • Document test results and manage defect resolution with internal teams and vendors.
  • Act as a subject matter expert (SME) for MHK CareProminence functionalities and integrations.
  • Collaborate with stakeholders, including health plan operations, IT teams, and clinical staff, to gather requirements and provide tailored solutions.
  • Provide training and support to end-users and teams on new features and workflows.
  • Stay updated on Medicaid, Medicare, and DSNP regulations to ensure system configurations remain compliant.
  • Assist in audits and regulatory reporting using MHK tools.
  • Participate in or lead projects related to MHK system upgrades, implementations, and enhancements.
  • Ensure timely delivery of project milestones and adherence to quality standards.

You Will Be Successful If :

  • Strong analytical and problem-solving skills.
  • Excellent written and verbal communication.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Team-oriented with a proactive and collaborative mindset.
  • What You Will Bring :

  • Bachelor's degree in Healthcare Administration, Information Systems, Business, or related field (preferred); or equivalent work experience instead of Bachelor's degree will be considered.
  • Advanced degree or certifications in healthcare management or IT (preferred).
  • 5 years of experience in MHK CareProminence configuration, workflow design, and testing.
  • Deep knowledge of MHK modules, including care management, utilization management, and reporting.
  • Strong understanding of Medicaid, Medicare, and DSNP operations and regulatory requirements.
  • Proven track record of working with health plans or managed care organizations.
  • Proficiency in system configuration, data mapping, and testing methodologies.
  • Experience with SQL, data integration tools, and reporting platforms (preferred).
  • 5 years of consulting experience, preferably in healthcare or health IT.
  • Ability to translate business needs into technical solutions and communicate effectively with diverse stakeholders.
  • Familiarity with CMS guidelines, Medicaid program standards, and DSNP requirements.
  • About Impresiv Health :

    Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.

    Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do - provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.

    That's Impresiv!

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