Health Claims Configuration & Automation 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

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.