Remote Configuration Coordinator – Healthcare Plans

Medica; Minnetonka (MN); Remote; USD 57.000 - 97.000; Vollzeit

Benefits dieser Stelle

Medical benefits

Dental benefits

Vision benefits

PTO

Holidays

Paid volunteer time off

401K contributions

Caregiver services

Zusammenfassung

Medica is seeking a Configuration Coordinator to handle the configuration and maintenance of business rules across core systems, including HealthRules, COSMOS, and UNET. This remote role supports reimbursement policies, member/provider contracts, enrollment, and secure access.

The position emphasizes accuracy and timely configuration for new markets and products. Responsibilities include identifying discrepancies in the system that impact claims processing and ensuring high-quality

Qualifikationen

• Bachelor's degree in Business Administration, Healthcare Administration, Healthcare Management, Healthcare Informatics, or a related degree; or an equivalent combination of education and related work experience.
• 1+ years of related experience, including configuration knowledge, system workflow, and/or design.

Aufgaben

• Configure and maintain business rules within core system ecosystem (COSMOS, UNET, HealthRules, and others).
• Assist in configuring new markets and products and manage rules for reimbursement policies, contracts, enrollment, and security.
• Identify, research, and resolve inaccuracies affecting claims payment and upstream/downstream processes, focusing on HealthRules Payor configuration.

Kenntnisse

Configuration knowledge

System workflow

Design

Ausbildung

Bachelor's degree in healthcare administration or related field

Tools

HealthRules

COSMOS

UNET

FACETS

QNXT

Trizetto

IKASystems

Amisys

MetaVance

Jobbeschreibung

Medica is seeking a Configuration Coordinator to handle the configuration and maintenance of business rules across core systems, including HealthRules, COSMOS, and UNET. This remote role supports reimbursement policies, member/provider contracts, enrollment, and secure access.

The position emphasizes accuracy and timely configuration for new markets and products. Responsibilities include identifying discrepancies in the system that impact claims processing and ensuring high-quality