Configuration Management Analyst

Neighborhood Health Plan of Rhode Island; Smithfield (RI); On-site; USD 70,000 - 95,000; Full time

Job summary

Neighborhood Health Plan of Rhode Island is seeking a Configuration Management Analyst to join our analytics team. This role handles analysis, design, build, testing, implementation, and maintenance of system configuration to support business requirements and improve workflows.

You will collaborate with business analysts and project teams to translate requirements into technical specs, manage test environments, document procedures, and ensure change control and audit readiness.

Qualifications

• Associates degree or equivalent with healthcare configuration experience.
• Minimum two years in business analysis and benefits/claims system configuration.
• Strong communication and multi-tasking in deadline-driven environments.
• Proficient in MS Project, Excel, PowerPoint and Word.

Responsibilities

• Serve as a key resource in gathering business and technical requirements and test cases for configuration changes.
• Translate business requirements into technical specifications and liaise between business and technical teams.
• Analyze requirements, design, code, and unit test configuration following standards.
• Execute build and implementation of benefit plan adjudication rules.

Skills

Business analysis

Requirements gathering

Stakeholder liaison

Problem solving

Communication

Education

Associates degree

Tools

HealthRules Payor

JIRA

Optum CES

Burgess Source

SQL

Job description

The Configuration Management Analyst is an entry to mid- level position responsible for the analysis, design, build, testing, implementation, and maintenance of system configuration to support business requirements and optimize system functionality. This position is also responsible for identifying areas of automation and enhancement to support and improve internal workflows, review system capabilities, and identify gaps and limitations. In addition, this role is responsible for ensuring adherence to the system development lifecycle and maintenance of all supporting documentation. The role requires strong analytical and problem-solving skills, the ability to work independently and proactively as well as demonstrated skills in providing excellent customer service.Duties and ResponsibilitiesThe duties for this position include, but are not limited to the following items:Serve as a key resource in facilitating the gathering of business and technical requirements in addition to test cases for all configuration changesWork with corporate project collaborators and Business Analyst to formulate and communicate business requirements and scope of projectWork with various business areas at different levels within the organization to translate business requirements into technical specifications documents and also act as liaison to translate technical questions and processes into a format the business can understandAnalyze business requirements and objectives and perform system configuration analysis, design, coding, and unit testing following established processes, standards and proceduresDevelop and maintain a library of standard operational procedures for all configuration tasks, including but not limited to creating and configuring benefit plans using best practiceExecute the build and implementation of benefit plan adjudication rulesPerform all configuration changes within multiple test environments, coordinating with testing and project teams to establish timelines and project planning in an effort to maintain the integrity of the environment in useResponsible for configuration in depth research, review, and creation of claims data to validate configuration output is performing as expectedHandle the change control process when configuration results do not match expected outcome, partners with Business Analyst and Testing team to find solutions as neededDevelop and execute multiple unit test cases and complete Configuration Control Framework documentation to support configuration audit requestsAct as a liaison between business stakeholders and technical teams to validate and translate unit, positive, negative and regression testing results and any remediation necessaryCoordinate and document all configuration activity for change control and auditingResponsible for coordination of production turnover of all configuration work upon business owner sign off as well as post production validationResponsible for the Configuration Management Promotion process for HealthRules, Optum CES, and Burgess Source and other systems as neededServe as subject matter expert for root cause analysis and issue resolution, by providing guidance on system limitations and functionalityDevelop proof of concepts prototype configuration to support business requirements and develop documented solutions and processesIdentify gaps between business expectations and system limitations and suggest configuration improvements or streamlined maintenance processes and techniquesResponsible for completing Peer Quality review of configuration updatesCoordinate with the Neighborhood Application Support ticket tracking and bringing to resolution any software, configuration, EDI, CES tickets that require updates to the test or production environmentsPerform business analysis duties for designated corporate projects and maintenance requestsOversee process development and documentation for any new or altered functionality or business process. This will also include facilitating an annual audit of actual business processes versus what is documentedIdentify potential areas of automation and aid in re-engineering the underlying business processesRecommend and maintain standards for development of business cases and their documentationCoordinate multiple simultaneous projects and initiatives, while maintaining business as usual tasksOther duties as assignedQualificationsRequired:Associates degree and/or years of relevant work experience and background in lieu of a degreeMinimum of two (2) years of business analysis and benefits and claims system configuration experience; or similar demonstrated experience working with health care claim processingPrior experience in a healthcare organization/settingExcellent interpersonal skills, including the ability to work across the organization and to interact, influence and negotiate effectivelyAbility to manage multiple priorities simultaneously in a deadline driven environmentProficient in MS Project, Excel, PowerPoint and WordStrong communication skills, both verbal and writtenPreferred:Experience with the Health Rules Payor transactional systemExperience with JIRAExperience with Optum CES (Claims Editing Software)Experience with SQL queriesExperience with Burgess SourceNeighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.