Business Configuration Analyst

Educology Solutions; Washington (District of Columbia); On-site; USD 90,000 - 120,000; Full time

Job summary

Educology Solutions is seeking a Configuration Analyst - Senior to join our Washington, DC team. The role requires deep experience configuring in QNXT and strong SQL/data analysis skills, with a focus on Medicaid/MMIS systems.

In this position, you will work closely with the implementation team to document client requirements and deliver robust configuration deliverables, meeting project timelines and best practices.

Qualifications

• Preferred experience working with HP ALM.
• Analyzes client requests for proposals and applies advanced subject matter knowledge to solve complex business issues.
• Adheres to and supports Configuration team approach and other configuration principles, methodologies, and practices.
• Works closely with the implementation team to analyze and document client's business requirements and processes. Communicates these requirements by constructing configuration deliverables.
• Researches and defines solutions for new configuration, legislation, or client rules.
• Creates and presents solution, proof of concept, or testing results to customer for new business processes or outcome requests.
• Completes configuration within schedule timelines and configuration best practices.

Responsibilities

• Configure in QNXT focusing on Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Data points for X12 Transactions, CARCs/RARCs.
• Understand relational database concepts and schemas to support data analysis.
• Write complex SQL queries to analyze configuration data and performance.

Skills

SQL queries

Relational databases

Medicaid MMIS

Tools

HP ALM

Job description

Configuration Analyst - Senior

PLEASE NOTE: MUST LIVE IN WASHINGTON DC PROPER TO BE CONSIDERED

Duties & Responsibilities

• Very proficient (at least 5 years’ experience) configuring in QNXT (Focus on the following areas: Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Successful Data Points for X12 Transactions, CARCs/RARCs).
• Thorough understanding of relational database concepts and schemas.
• Competent writing complex SQL queries for data analysis.

Additional Required Skills

• Experience working with Medicaid/MMIS systems. Preferred experience includes DDI (Design, Development, and Implementation) and operation & maintenance phase.
• Experience processing Medicaid claims & encounters and ability to troubleshoot adjudication results.
• Experience with Requirement Traceability Matrices.

Qualifications

• Preferred experience working with HP Application Lifecycle Management (ALM).
• Analyzes client requests for proposals and applies advanced subject matter knowledge to solve complex business issues.
• Adheres to and supports Configuration team approach and other configuration principles, methodologies, and practices.
• Works closely with the implementation team to analyze and document client's business requirements and processes. Communicates these requirements by constructing configuration deliverables.
• Researches and defines solutions for new configuration, legislation, or client rules.
• Creates and presents solution, proof of concept, or testing results to customer for new business processes or outcome requests.
• Completes configuration within schedule timelines and configuration best practices.