Configuration Analyst

Gardner Resources Consulting, LLC; North Providence (RI); On-site; USD 85,000 - 120,000; Full time

Job summary

Gardner Resources Consulting, LLC is seeking a Configuration Services professional in Rhode Island to support benefits and claims configuration, with front-end setup in Facets or similar systems. Role requires knowledge of benefits configuration, claims processing rules, and the ability to act as SME in requirement sessions while guiding system functionality and limitations.

You will liaise between testing and business owners to ensure accurate validation of configurations and support overall

Qualifications

• Understanding of healthcare benefits and how they impact claims adjudication.
• Benefit and Claims configuration experience (benefits, supplier contracts, claims processing rules).
• Front End configuration experience (Facets or similar system)
• Knowledge of claims system best practices (analytical approach, not a see it key it mentality).
• Document Configuration Control Framework (CCF).
• Ability to represent Configuration Services as a subject matter expert in project requirement sessions.

Responsibilities

• Act as a liaison for claims testing inquiries and activities between the testing team and the business owner.
• Provides guidance on system functionality and system limitations.
• Represents Configuration Services as a subject matter expert in project requirement sessions.
• Front End configuration experience (Facets or similar system).
• Understands the healthcare benefits and how they impact claims adjudication.
• Benefits and Claims configuration experience (benefits, supplier contracts, claims processing rules).

Skills

Benefits config

Claims adjudication

Front-end config

Subject matter expert

Testing liaison

CCF knowledge

Facets expertise

Tools

Facets or similar system

Job description

• Understanding of healthcare benefits and how they impact claims adjudication.
• Benefit and Claims configuration experience (benefits, supplier contracts, claims processing rules).
• Front End configuration experience (Facets or similar system)
• Knowledge of claims system best practices (analytical approach, not a see it key it mentality).
• Document Configuration Control Framework (CCF).
• Ability to represent Configuration Services as a subject matter expert in project requirement sessions.
• Provides guidance on system functionality and system limitations.
• Act as a liaison for claims testing inquiries and activities between the testing team and the business owner.