Healthcare Claims Configurator

ALAMEDA ALLIANCE FOR HEALTH; Alameda (CA); Hybrid; USD 90,000 - 135,000; Full time

Job summary

Alameda Alliance for Health is seeking a Configuration Analyst to configure and maintain provider contracts, fee schedules and code sets in HealthSUITE. The role provides technical and administrative support to ensure system configuration meets operational needs for the Alliance and its partners.

You will analyze business needs, document requirements, design and test configurations, and audit system operations.

Qualifications

• Bachelor’s Degree or equivalent work experience.
• 1–3 years’ experience in health care/managed care or IT in health environment.
• Strong interpersonal and communication skills.
• Detail-oriented with good organizational skills.
• Beginner level experience in Microsoft Excel or equivalent.

Responsibilities

• Configure benefits, provider contracts and fee schedules in the HealthSUITE claims adjudication system.
• Monitor updates of various code sets for accurate operations.
• Analyze business needs and document requirements.
• Design, test and document system configurations.
• Audit system operations to ensure policy compliance and optimal configuration.
• Assist with data analysis for system planning and upgrades.
• Complete special projects as assigned.

Skills

Interpersonal skills

Data analysis

Documentation

Communication

Team collaboration

Organizational skills

Excel basics

Education

Bachelor's Degree or equivalent

Job description

Alameda Alliance for Health is seeking a Configuration Analyst to configure and maintain provider contracts, fee schedules and code sets in HealthSUITE. The role provides technical and administrative support to ensure system configuration meets operational needs for the Alliance and its partners.

You will analyze business needs, document requirements, design and test configurations, and audit system operations.