Configuration Specialist

Belcan

Mason (OH)

On-site

USD 70,000 - 90,000

Full time

14 days+

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Job summary

A leading consulting firm in Mason, Ohio, is seeking a Technical Recruiter to manage Configuration strategies and lead project initiatives involving the Facets platform. Candidates should have significant experience with Medicaid and Medicare systems, strong SQL skills, and the ability to perform detailed data analysis and troubleshooting. This role offers a dynamic environment focused on improving business processes and solutions.

Qualifications

  • 5+ years experience with the Facets platform.
  • Understanding of Medicare/Medicaid systems.
  • Experience in data validation.

Responsibilities

  • Design and implement Configuration strategies.
  • Lead Configuration project initiatives.
  • Perform data analysis and troubleshooting.

Skills

Facets platform
Medical Plan Benefit Configuration
Provider Network & Agreement Configuration
SQL
Data analysis
Analytical skills

Education

Bachelor's degree or equivalent work experience

Tools

Facets
Informatica
Oracle SQL

Job description

Technical Recruiter @ Belcan - A Cognizant Company

Job Description:

Responsible for the enablement of member benefit configuration strategies by designing, implementing, and executing Configuration.

Lead projects for the Configuration space to enable system and process solutions for the Business Configuration tool sets. Serve as a subject matter expert for the Business Configuration team interfacing with Client's cross functional teams implementing solutions for client requirements.

Serve as a subject matter expert representing the Configuration workstream for large Government Implementations for Medicaid, Med/Surgical, and Medicare programs.

Provide Data Analysis and troubleshooting expertise on Configuration tool sets with automated processes. Prepare data for analysis by removing duplicates, errors, and outliers and perform data validation. Should be able to build SQL queries to pull backend data based on configuration need.

Serve as a Business Analyst documenting requirements, process flows, and execute testing for enhancements to improve the automation toolset for Configuration.

Specific Skills Needed:
  • Bachelor's degree or equivalent work experience
  • 5+ years experience with Facets platform, Medical Plan Benefit Configuration, Provider Network & Agreement Configuration, Understanding for Medicare/Medicaid. SQL and Database experience
  • Analytical & problem solving skill Operating System: Windows Applications: Facets Automation tools: Homegrown tool developed in Informatica. Testing tools: Oracle SQL for data validation and Facets for claims testing.

Belcan is an equal opportunity employer. Your application and candidacy will not be considered based on race, colour, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.

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