Configuration Quality Analyst

Neighborhood Health Plan of Rhode Island; Smithfield (RI); On-site; USD 65,000 - 90,000; Full time

Job summary

Neighborhood Health Plan of Rhode Island is seeking a Configuration Quality Analyst to ensure the accuracy, completeness, and compliance of system configuration activities. You will conduct quality reviews, audits, and validation of testing and documentation, and provide coaching to teams to uphold standards.

Collaborating with Configuration Management Analysts, Business Analysts, and Testing teams, you will help improve efficiency, track quality metrics, and support annual audits of processes.

Qualifications

• Associate's degree or equivalent years of relevant work experience.
• Minimum of two years of experience in benefits and claims system configuration, quality assurance, auditing, or healthcare operations.
• Experience in a healthcare organization/setting preferred.
• Proficient in Excel, PowerPoint, Word, and Project; strong communication skills.

Responsibilities

• Perform comprehensive quality reviews of configuration work.
• Audit configuration changes for compliance with requirements and standards.
• Review supporting documentation, test evidence, and change control records.
• Evaluate unit testing, negative/positive testing, and regression results.
• Develop and report quality metrics, scorecards, and KPIs.

Skills

Analytical skills

Problem solving

Attention to detail

Cross-functional collaboration

Education

Associate's degree

Tools

Microsoft Excel

PowerPoint

Word

Microsoft Project

JIRA

SQL queries

Job description

The Configuration Quality Analyst is responsible for ensuring the accuracy, completeness, compliance, and quality of system configuration activities performed by the Configuration Services team. This position conducts detailed quality reviews and audits of configuration changes, validates testing and documentation, identifies trends and opportunities for process improvement, and ensures adherence to established standards, policies, and regulatory requirements.This role serves as an independent quality resource by evaluating configuration deliverables, providing feedback and coaching, supporting root cause analysis efforts, and promoting continuous improvement across configuration processes. The position requires strong analytical and problem-solving skills, attention to detail, sound judgment, and the ability to collaborate effectively with cross-functional teams while maintaining objectivity and quality standards.Duties and ResponsibilitiesThe duties for this position include, but are not limited to the following items:Perform comprehensive quality reviews of configuration work completed by Configuration TeamAudit configuration changes to ensure compliance with approved business requirements, technical specifications, organizational standards, and regulatory requirements.Review supporting documentation, test evidence, and change control records for completeness and accuracy.Validate benefit plan configuration, adjudication rules, and related configuration updates prior to production implementation.Evaluate unit testing results, positive and negative testing outcomes, and regression testing documentation for quality and completeness.Ensure Configuration Control Framework documentation is completed accurately and consistently.Verify production turnover packages and post-production validation activities meet established standards.Conduct periodic audits of configuration processes and deliverables to identify risks, gaps, and improvement opportunities.Develop, maintain, and report quality metrics, scorecards, trends, and key performance indicators.Identify opportunities to improve efficiency, consistency, and accuracy across configuration processes.Partner with Configuration Management Analysts, Business Analysts, and Testing teams to strengthen quality controls.Facilitate periodic reviews of standard operating procedures to ensure alignment with current business practices.Support annual audits of documented business processes and configuration procedures.Provide constructive feedback regarding audit findings and quality concerns.Partner with management to identify training and coaching opportunities.Serve as a subject matter expert regarding configuration quality standards and best practices.Assist in root cause analysis efforts involving configuration defects or production issues.Review configuration promotion activities for HealthRules, Burgess Source, and other applicable systems.Perform other duties as assigned.QualificationsRequired:Associate's degree and/or equivalent years of relevant work experience in lieu of a degreeMinimum of two (2) years of experience in benefits and claims system configuration, quality assurance, auditing, business analysis, or healthcare operationsPrior experience in a healthcare organization/settingExperience reviewing business requirements, test cases, configuration documentation, and system changesStrong analytical and problem-solving skills with exceptional attention to detailExcellent interpersonal skills, including the ability to work across the organization and interact, influence, and communicate effectivelyAbility to manage multiple priorities simultaneously in a deadline-driven environmentProficient in Microsoft Excel, PowerPoint, Word, and ProjectStrong verbal and written communication skillsPreferred:Experience with HealthRules Payor transactional systemExperience with JIRAExperience with SQL queriesExperience with SourceExperience developing quality metrics, audit programs, and performance reportingNeighborhood 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.