Overview
Skills
Job Details
Title: Configuration Analyst (Facets/SQL) - Hybrid
Mandatory skills:
Configuration, Configuration Analysis, Business Configuration,
SQL, Database, Oracle SQL, SQL queries,
Facets, Facets platform,
Healthcare claim, benefit configuration,
Operating System, Windows, Informatica,
Medicare, Medicaid, Surgical, Medicare programs, Medicaid program, Medicaid products,
Data Analysis, data validation, claims testing, testing execution,
Fit Analysis, Gap Analysis, Feedback Assessments,
Medical Plan Benefit Configuration, Provider Network, Agreement Configuration,
documenting requirements, process flows, automation toolset, key performance indicator, business requirements
Description:
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 client s cross functional teams implementing solutions for client requirements.
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 client s 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 clientleadership.
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).
Require high level roles to build, troubleshoot, and prototype Medicaid products.
Capture business requirements with clients, testing execution, and troubleshooting for multiple Medicaid program implementations.
Specific Skills Needed:
Top 3-5 mandatory and/or minimum requirements:
SQL/Database experience.
Healthcare claim understanding/benefit configuration.
Facets
Analytical & problem solving skill
Operating System: Windows
Applications: Facets
Automation tools: client s homegrown tool developed in Informatica.
Testing tools: Oracle SQL for data validation and Facets for claims testing.
Top 3-5 desirable attributes/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
Required levels/ Years of Experience:
Bachelor s degree or equivalent work experience
VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment. The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran. Please contact us at for any complaints, comments and suggestions.
Contact Details :
VIVA USA INC.
3601 Algonquin Road, Suite 425
Rolling Meadows, IL 60008