Configuration Analyst

Job Summary

We are seeking a highly skilled and experienced Configuration Analyst to join our team. The ideal candidate will have extensive knowledge of Healthcare Payer operations and a strong experience in developing and delivering configuration on Claims platforms like Core Admin platforms. This role is essential for ensuring that our staff are well-trained and knowledgeable about industry standards, processes, and best practices.

Key Responsibilities

Configuration of Healthcare Payer (Health Plan) Core Administrative Platforms :

Design and configure the benefits, system parameters, and pricing requirements on the Health Plan (Payer) core administrative platforms for various lines of business, including Medicare, Medicaid, Commercial, and Individual-Exchange, ensuring compliance with business requirements and regulatory standards.

Requirements Gathering and Analysis :

Collaborate with clients and internal stakeholders to gather and document configuration requirements, ensuring a clear understanding of client needs and project objectives.

Configuration Design and Execution :

Develop detailed configuration designs, incorporating feedback from clients and internal stakeholders, and obtain approval prior to implementation.

Execute configuration activities as per the approved design, ensuring accuracy and alignment with client specifications.

Testing and Quality Assurance :

Partner with the testing team to conduct thorough testing of configurations, review results, and make necessary adjustments to ensure quality and performance standards are met.

Required Skills and Qualifications

• Minimum of 2+ years of experience in Configuration on either HealthRules Payer or Facets or QNXT is required (US Health insurance).
• Proven experience with configuration for Medicare, Medicaid, Commercial, and Individual-Exchange lines of business.
• Experience with HealthEdge HealthRules Payer (HRP) configuration would be preferred
• Experience with HealthEdge Source (Burgess) or HealthEdge GuidingCare would be added advantage
• Strong communication skills, with demonstrated ability to engage effectively with clients and internal stakeholders.

Firstsource is an Equal Employment Opportunity / Affirmative Action Employer and maintains a Drug-Free Workplace. The companyparticipates in E-Verify and we will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's I-9 to confirm work authorization.

It is the policy of this Company to seek and employ qualified individuals at all locations and facilities, and to provide equal employment opportunities for all applicants and employees in recruiting, hiring, placement, training, compensation, insurance, benefits, promotion, transfer, and termination. To achieve this, we are dedicated to taking affirmative action to employ and advance in employment qualified individuals with disabilities, disabled veterans, and other eligible veterans.