Healthcare Configuration Quality Auditor

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 configuration activities within the Configuration Services team. This role conducts detailed quality reviews, validates testing and documentation, and supports process improvement across configuration processes.

The ideal candidate possesses strong analytical and problem-solving skills, attention to detail, and the ability to collaborate with

Qualifications

• Associate's degree or equivalent applicable experience.
• Minimum of two years in benefits and claims system configuration, quality assurance, auditing, business analysis, or healthcare operations.
• Experience in a healthcare organization/setting and reviewing requirements, test cases, configuration documentation, and system changes.
• Strong analytical and problem-solving skills with exceptional attention to detail; excellent interpersonal/communication abilities.

Responsibilities

• Perform quality reviews of configuration work completed by Configuration Team.
• Audit configuration changes to ensure compliance with approved business requirements, technical specs, 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.
• Ensure Configuration Control Framework documentation is completed accurately and consistently.

Skills

Analytical thinking

Problem solving

Attention to detail

Communication skills

Multitasking

Education

Associate degree or equivalent

Tools

Excel

PowerPoint

Word

Project

Job description

Neighborhood Health Plan of Rhode Island is seeking a Configuration Quality Analyst to ensure the accuracy, completeness, and compliance of configuration activities within the Configuration Services team. This role conducts detailed quality reviews, validates testing and documentation, and supports process improvement across configuration processes.

The ideal candidate possesses strong analytical and problem-solving skills, attention to detail, and the ability to collaborate with