Critical CareAdvance Configuration Analyst

Huron; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

A global consultancy firm is seeking a highly skilled CareAdvance Configuration Analyst/SME to join their team. The ideal candidate will have over 5 years of experience in systems configuration, particularly with the CareAdvance Enterprise Applications. This role involves gathering requirements, managing system configurations, performing root cause analysis, and improving processes within a healthcare environment. Excellent communication and organizational skills, as well as the ability to work under pressure, are essential. Competitive compensation and growth opportunities are provided.

Qualifications

• 5+ years of experience in a Systems Configuration role within a healthcare organization.
• 5+ years working with CareAdvance Enterprise Application.
• Advanced knowledge of health plan configuration methodologies.

Responsibilities

• Gather and document requirements, develop configuration design.
• Manage complex system configuration and documentation.
• Conduct advanced root cause analysis of system issues.

Skills

Systems configuration

Claims management

Health plan configuration

CareAdvance Enterprise Application

Project management

Communication skills

Analytical skills

Organizational skills

Microsoft Office proficiency

Job description

Huron is a global consultancy that collaborates with clients to drive strategic growth, ignite innovation and navigate constant change. Through a combination of strategy, expertise, and creativity, we help clients accelerate operational, digital, and cultural transformation, enabling the change they need to own their future.

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.

We are seeking a highly skilled CareAdvance Configuration Analyst/SME. The ideal candidate will have experience in systems configuration, claims and the Clinical and Care Management system CareAdvance Enterprise Applications (CCA). Also, must have advanced knowledge/experience within health plan configuration including healthcare services, medical management, population health management, and associated industry care guideline standards. Must be able to work as part of a team or as a team lead within a consulting environment.

RESPONSIBILITIES

• Gathers and documents requirements, performs analysis and develops configuration design to meet the business needs.
• Manages complex system configuration and related documentation. Serves as a subject matter expert for configuration change management testing and related best practices. Facilitates production controls and system configuration data codification.
• Monitor and review system edits and conduct advanced root cause analysis to identify issues and provide well thought-out recommendations for resolution, including those requiring multi-disciplinary technical skills.
• Identify and facilitate the implementation of process improvements and best practices.
• Interface and collaborate with peers and management in Healthcare Services and throughout the organization and industry to support configuration management best practices, system configuration life cycle management, project/program plans and tracking of configuration change and operational issues and resolution.
• Represents the team on appropriate internal committees and external committees associated with the system solution.
• Makes system-based recommendations regarding enhancement requests and implementation of enhancement features.
• Leads and manages configuration project timelines to meet agreed upon deliverables.
• Coordinates the preparation and execution of test plans to validate that configuration updates/system fixes are complete, accurate and that enhancements function as designed.
• Performs other duties as assigned.

REQUIREMENTS

• 5+ years of experience in a Systems Configuration, Claims or other Operations department in a healthcare organization.
• 5+ years working with CareAdvance Enterprise Application.
• Advanced knowledge of and experience with health plan configuration, including healthcare services, medical management, population health management and associated industry care guidelines and standards (i.e. Milliman Care Guidelines).
• Knowledge of and experience with configuration change management methodologies, standards and best practices.
• Experience with project management methodologies is preferred.
• Ability to understand and communicate the business needs at both clinical and technical levels and translate them into configuration requirements.
• Ability to analyze process and document as workflows, perform gap analysis, and develop future state standardized workflows.
• Ability to facilitate meetings with participants at varying levels within the organization.
• Ability to manage projects and initiatives independently end-to-end.
• Ability to meet agreed upon timelines with a high degree of accuracy.
• Strong communication, analytical, organizational and time management skills.
• Ability to work collaboratively with various levels of peers and management throughout the organization, as well as with vendors.
• Ability to work well under pressure with constantly shifting priorities.
• Proficiency in Microsoft Office products.
• Ability to come into work on time, on a daily basis.
• Ability to maintain confidentiality and project a professional business image.