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As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Job Responsibility:
Implements a comprehensive configuration management plan
Analyzes complex configuration data to provide insights into configuration management metrics, trends, and compliance issues
Applies in-depth knowledge of configuration management tools and systems
Codes and/or writes custom configurations or extensions
Communicates with project managers, developers, and system administrators
Completes assessments to determine risks associated with configuration management
Conducts routine audits that guide the development of corrective actions
Communicates regularly with the release management team
Ensures that configuration management practices align with relevant industry standards, regulations, and security requirements
Requirements:
1 year minimum of claims processing experience
Experience with system testing and post go-live validation
QNXT Experience
Familiarity with clinical and code editing concepts and products (Example: ClaimsXten, Cotiviti PPM & CV)
Extensive knowledge of CPT, HCPCS, ICD-10 coding
Bachelor's degree preferred/specialized training/relevant professional qualification
Nice to have:
Prior Relevant Work Experience 3-5 years
Working knowledge of problem solving and decision making skills
Certified Information Systems Security Professional (CISSP) preferred
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