Remote Senior Configuration Analyst (Healthcare Systems)

ADP, Inc.; French Camp (CA); Remote; USD 84,000 - 120,000; Full time

Job summary

Health Plan of San Joaquin seeks a Senior Configuration Analyst to manage system configurations, health plan implementations, and conversions within the System Configuration team. You will translate state and federal guidelines into configuration parameters, update benefit plans, provider setups, and fee schedules via the core systems.

The role requires expert SQL and QNXT/JIVA knowledge, strong analytical and communication skills, and experience leading Agile projects.

Qualifications

• Extensive knowledge of core QNXT system modules.
• Ability to configure and update all standard core QNXT modules.
• Extensive knowledge of core system databases.
• Independently perform complex system and data analytics.
• Experience with OPTUM PPS, CES, and NetworX Pricer and Modeler.
• Experience with JIVA or other Medical Management Platforms.
• Independently create intermediate SQL queries.
• Expert knowledge of ANSI formats for healthcare EDI.

Responsibilities

• Manage major system configurations and health plan implementations.
• Interpret state/federal guidelines and convert into configuration parameters.
• Update benefit plans, provider setup, and fee schedules via UI.
• Mentor Configuration Analysts and document technical requirements.
• Develop and run SQL analyses for reporting and decision support.
• Lead Agile/PM activities and coordinate medium to large projects.

Skills

SQL

QNXT

JIVA

Analytical skills

Agile methodology

Scrum Master

Communication

Project management

Education

Bachelor's degree in Computer Science or Mathematics

Tools

Visio

Team Foundation Server (TFS)

Attachmate

Microsoft Office

Job description

Health Plan of San Joaquin seeks a Senior Configuration Analyst to manage system configurations, health plan implementations, and conversions within the System Configuration team. You will translate state and federal guidelines into configuration parameters, update benefit plans, provider setups, and fee schedules via the core systems.

The role requires expert SQL and QNXT/JIVA knowledge, strong analytical and communication skills, and experience leading Agile projects.