Apply Now

Senior Provider Configuration Analyst

New York, NY, US • Posted 8 hours ago • Updated 8 hours ago

Full Time

On-site

Fitment

Dice Job Match Score™

🧠 Analyzing your skills...

Job Details

Skills

Collaboration
Test Cases
Testing
System Migration
SQL
Inventory
Pricing
Training
Computer Science
Data Processing
Workflow Analysis
Technical Writing
Health Care
Customer Focus
Communication
Management
Attention To Detail

Summary

The Senior Provider Configuration Analyst will be responsible for the configuration of MetroPlusHealth's systems to ensure that claims are processed according to Provider contracts.

Scope of Role & Responsibilities

Configure provider reimbursement and create and maintain fee schedules.
Analyze departmental requirements needed to develop long and short-term plans.
Ensure system processes and services are aligned with the needs of the department.
Analyze the system to ensure claims are processed correctly to protect the company from liabilities.
Collaborate with MetroPlusHealth's system consultants to correct errors, rectify omissions, and investigate system issues.
Identify potential system problems for claims resolution.
Review test cases to ensure they are in accordance with requirements and assist with overall testing processes.
Conduct ongoing reviews of systems and processes to ensure accurate and optimum setup for both provider and claims.
Receive, coordinate, and manage requests for Systems Modifications.
Maintain and track open issues and coordinate release testing.
Assist with the system migration to HealthEdge HRP and Source products.
Run reports and perform analysis using SQL.
Create and maintain an inventory of pricing templates and their contents
Monitor and Manage Core Systems performance
Respond to escalated issues from various MetroPlusHealth Departments.
Perform and assist with any other functions as required by the Director of Provider Contract Configuration
Participate in special projects and strategic initiatives as needed.

Required Education, Training & Professional Experience

A Baccalaureate Degree from an accredited college or university required, Computer Science preferred; and
Six (6) years of progressive, responsible experience in configuration for data processing, computer systems and applications;
Experience with HealthEdge HRP and Source products required.
Demonstrated experience supporting system configuration, workflow analysis, and technical documentation in a healthcare or claims environment.

Professional Compentencies

Integrity and Trust
Customer Focus
Functional/Technical skills
Written/Oral Communication
Ability to work independently, manage multiple priorities, and maintain attention to detail.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: buyfeed
Position Id: 6907_TE0123
Posted 8 hours ago

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

Similar Jobs

Sr Systems Analyst

New York, New York

•

Today

Company Description Job Description The New York City Department of Youth and Community Development (DYCD) invests in a network of community-based organizations and programs to alleviate the effects of poverty and to provide opportunities for New Yorkers and communities to flourish. DYCD supports New York City youth and their families by funding a wide range of high-quality youth and community development programs, including: -After School -Community Development -Family Support -Literacy Serv

Full-time

Systems Analyst

New York, New York

•

Today

Company Description Job Description **ONLY CANDIDATES WHO ARE PERMANENT COMPUTER ASSOC (SOFTWARE) OR WHO ARE ELIGIBLE FOR APPOINTMENT FROM THE OPEN COMPETITIVE ASSOCIATE CONTRACT SPECIALIST LIST WILL BE CONSIDERED FOR THIS POSITION. The New York City Department of Youth and Community Development (DYCD) invests in a network of community-based organizations and programs to alleviate the effects of poverty and to provide opportunities for New Yorkers and communities to flourish. The Information

Full-time

Senior Analyst & Systems Developer, Radiology Informatics

Remote or New York, New York

•

Today

About Us: The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, di

Full-time

USD 102,800.00 - 164,500.00 per year

Information Technology Specialist (System Support & Performance, Clinical IT Space) in NYC

New York, New York

•

2d ago

Information Technology Specialist (System Support & Performance, Windows, Databases, Programming, HL7 Protocol, EPIC, Clinical IT Space) in NYC 5+ to 7 years of experience POSITION: Information Technology Specialist (System Support & Performance, Windows, Databases, Programming, HL7 protocol, DICOM, EPIC, Clinical IT Space) LOCATION: New York City SALARY: Excellent Compensation with benefits DURATION: Onsite Full-Time Position SKILLS: Information Technology Specialist, System Support & Performa

Easy Apply

Full-time

Depends on Experience

Search all similar jobs