Lead Systems Configuration Technical Analyst

• Managing complex system configurations, health plan implementations and conversions
• Accurately interpreting specific state/federal and/or business requirements and their impact on various system modules to convert them into configuration parameters
• Supporting integration and business process activities that utilize configuration as part of the end-to-end solution
• Identifying opportunities for improvement and suggesting ways to bridge the gap between inter-dependent departments
• Triaging possible issues identified and implementing applicable remediation to address confirmed configuration issues
• Redesigning complex business concepts resulting to correct processing conflicts
• Working with and mentoring people of various professional, vocational, and educational backgrounds
• Being responsible for the daily workflow and leading the work of assigned staff
• Mentoring, coaching, acting as a resource and providing feedback on performance of assigned staff
• Implementing complex system configuration changes
• Evaluating, testing, and validating configuration changes ensuring they meet service levels and quality standards
• Ensuring completeness of requirements for the design and implementation of system business solutions
• Developing solutions to resolve problems and making recommendations for improvements to process, configuration and products
• Developing complex business requirement specifications to complete configuration analysis and design
• Analyzing user requirements, evaluating functionality and configuration options available to improve business results
• Mentoring and training team members, providing guidance and solutions to system users and technical resources
• Providing technical advice on business impact and opportunities
• Creating and developing training documentation and presentations
• Attending and collaborating cross-functional meetings to develop, document and present system solutions
• Leading the translation of business requirements into configuration requirements
• Leading the formulation and definition of system scope and objective based on users’ needs and understanding of business processes
• Participating in solution design by preparing and evaluating alternative solutions
• Developing and presenting proposals for modifications
• Managing complex projects, engaging and updating key stakeholders, developing timelines, leads others to complete deliverables on time and ensures implementation upon approval
• Overseeing the daily office workflow, develops and recommends enhancements to process and procedures

• Bachelor's Degree (or equivalent education/experience)
• At least 5 years of experience in benefit, contract configuration and product interpretations in a healthcare/health plan environment
• 5 years of claims experience
• 3 years in medical coding initiatives and guidelines
• Minimum of 3 years of lead experience (process, program, or staff)
• Expert level of knowledge of QNXT
• Excellent analytical, organization and communication skills
• In-depth knowledge of system analysis and configuration
• Ability to breakdown raw information and undefined problems into specific, workable components
• Ability to understand a customer's business needs and translate needs into specific requirements
• Ability to plan and account for configuration impacts across business processes and applications
• Demonstrated ability to collaborate with other members of formal and informal groups

Master's Degree

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retirement Plans
• Medical, Dental and Vision
• Wellness Program
• Volunteer Time Off (VTO)