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 cross functional teams implementing solutions for client requirements.
location: Mason, Ohio
job type: Contract
salary: $53 - 80 per hour
work hours: 8am to 5pm
education: Bachelors
responsibilities:
- 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 optical 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 of the organization's leadership.
qualifications:
REQUIREMENTS:
MUST HAVE: This role is about 60% configuration 40% attending cross functional meetings and capture requirements. Able to lead/represent cross functional meetings (this is one of the major skill set that we look for).
Specific Skills Needed:
- 5-6+ years of SQL/Database experience
- 5-6+ years of Healthcare claim understanding/benefit configuration
- 5-6+ years of Facets experience
- Analytical & problem solving skills
- Operating System: Windows
- Applications: Facets (5-6+ years experience)
- Automation tools: Proprietary tool developed in Informatica
- Testing tools: Oracle SQL for data validation and Facets for claims testing
- Bachelor's degree or equivalent work experience
skills: Top Desirable Qualifications:
- 5+ years' experience with Facets platform, Medical Plan Benefit Configuration, Provider Network & Agreement Configuration, Understanding for Medicare/Medicaid
- SQL and Database experience
- Excellent analytical and problem-solving skills, quick learning
- Strong communication and interpersonal skills
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
