Configuration Analyst/ Administrator

Position Title: Configuration Analyst/Administrator
Work Location: Mason, OH 45040
Work Hours: 8:00 AM to 5:00 PM (1-hour break; 8 hours per day, 40 hours per week)
Work Type: Hybrid 2 days per week onsite

Job Summary

• Role involves approximately 60% configuration and 40% participation in cross-functional meetings to capture requirements.
• Able to lead and represent cross-functional meetings (a key required skill).
• Responsible for building, troubleshooting, and prototyping Medicaid products.
• Capture business requirements, execute testing, and perform troubleshooting for multiple Medicaid program implementations.
• Serve as a Senior Configuration Analyst on the Business Configuration Solutions team.
• Responsible for enabling member benefit configuration strategies by designing, implementing, and executing configuration.
• Lead projects in the configuration space to enable system and process solutions for business configuration toolsets.
• Act as a subject matter expert (SME) for the Business Configuration team, interfacing with cross-functional teams to implement requirements.
• Provide data analysis and troubleshooting expertise on configuration toolsets using automated processes.
• Prepare data for analysis by removing duplicates, errors, and outliers; perform data validation.
• Build SQL queries to pull backend data based on configuration needs.
• Serve as a Business Analyst, documenting requirements, process flows, and executing testing for enhancements to improve automation toolsets.
• Self-manage and prioritize work to meet service level agreements (SLAs) and performance indicators.
• Collaborate with configuration leaders on roadmap deliverables to enable automation of product and network offerings.
• Provide fit/gap analysis and feedback on new plans as configuration is leveraged for new business.
• Develop and maintain positive working relationships with team members, stakeholders, and business partners at all leadership levels.

Key Skills and Requirements

Must Have:

• SQL/Database experience
• Healthcare claim understanding and benefit configuration
• Facets
• Analytical and problem-solving skills

Preferred Skills:

• 5+ years experience with Facets platform, medical plan benefit configuration, and provider network configuration
• Understanding of Medicare/Medicaid
• Strong communication and interpersonal skills
• Excellent analytical and problem-solving abilities
• Bachelor s degree or equivalent work experience