What are the responsibilities and job description for the System Analyst position at Next Level Business Services, Inc.?
Configuration Architect for multi-state Medicaid, Marketplace, Medicare,
Dual Eligible health plan. Supported plans full product portfolio related to
Facets solution design and standards. Also represented Facets platform in
coordination with solution architects across the plans entire enterprise
solution.
Created and delivered end to end Facets based resource competency
development program.
Configuration automation and QA lead for regional Client Health Plan.
Responsible for the development of Service Payment and Benefit automation
utility solution
Configuration Design Lead for implementation of State Exchange based
QHP product line
Configuration Design Lead and Project Manager for Health Plan product line
expansion into new Commercial and Medicaid lines of business
Configuration design lead and team manager of Facets implementation and
systems conversion for large regional Client Health Plan. Included analyst
and design around Medical Plan, Provider / Network, Capitation, Billing,
ASO, Workflow, Customer Service and Subscriber / Member
Project Manager over system conversion and Facets implementation of
managed Medicaid and Medicare product lines.
Implementation and Configuration Lead (Provider, Plan / Product, Capitation,
Billing, Claims, Utilization Management, NetworXPricer).
SQL configuration-based scripting
Configuration team training
Project manager over successful Facets system release upgrade.
Most Recent Engagement Summary
Facets Configuration Architect
o Configuration Remediation Initiative Led effort to harvest
benefit configuration data from production system to
identify opportunities for improvement against newly
developed benefit code sets
o Developed program to extract all Facets configuration data
into usable format to support analysis of benefits
configuration. Solution allowed for the input of procedure
code and revenue code data to produce existing
configuration reports across all conversion and
supplemental conversion tables.
o Developed Architect Enhancement Review Program
Created and implemented new program to provide cross
solution review, solution, and approval with enhancement
requests.
o Developed logic to extract Pre-authorization information
from Facets system to support Pre-Authorization review
initiative, and Provider PA Look-up tool
o Developed configuration standards and new foundation
configuration to support new business expansion and allow
for greater scalability and shared code sets between product
lines.
o Managed 20 staff configuration analysts in support of
Break-Fix and Enhancement requests related to Facets
configuration.
o Developed and implemented Facets Resource Development
Program. Program included assessment of staff
configuration analyst and training on the entire core Facets
system.
o Lead configuration analyst in support of complex
configuration requests, analysis and build. Role included
addressing escalated issues and new configuration from
Senior Management.
o Facets Configuration Design Lead for pilot fee-for-service
Medicaid platform development. Led all aspects of global
design to support re-usable platform for multi-state
offering.
o Led the implementation of new Facets BPA supplemental
design and build as part of ICD10 project. Solution
included the automated conversion of existing supplemental
configuration into the BPA based design.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. NLB is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact HR department by sending an e-mail to notifications@nlbservices.com."
