Senior Configuration Analyst

TruBlu HR Solutions; Bellaire (TX); Remote; Full time

Job summary

A leading healthcare solutions provider is seeking a Configuration Analyst to manage system updates and new health plan implementations. The role requires strong skills in claims processing and configuration, along with a focus on detail and adherence to policies. Ideal candidates will have experience with Tapestry and a background in managed care. This position offers flexibility for remote candidates, with a requirement to work during specified hours.

Benefits

Medical insurance

Qualifications

• 4 years experience in managed care or claims processing.
• Claims specialist or claims research analyst experience preferred.

Responsibilities

• Perform daily configuration changes in claim adjudication systems.
• Support new system implementations and upgrades.

Skills

Managed care

Claims processing

Configuration

Excel

Education

High School Diploma or GED

Bachelor's degree

Tools

Tapestry Benefits

Tapestry Contracts

Job description

1 week ago Be among the first 25 applicants

This range is provided by TruBlu HR Solutions. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$1.00/yr - $10.00/yr

Direct message the job poster from TruBlu HR Solutions

Lead Medical Recruiter at TruBlu HR Solutions

TruBlu HR Solutions is seeking a Configuration Analyst, Sr for a hospital in the Houston, Texas area.

About the Role - The Configuration Analyst is responsible for the activities related to system updates, new health plan implementations, and conversions within Business Operations, designs configurations solutions to meet new business requirements and performs updates for either benefits, coding, contracts, fee schedules, or claim editing rules in adherence with business policies and state requirements.

• Performs daily configuration changes in claim adjudication systems.
• Performs system configuration design analysis associated with multiple areas of configuration
• with one project.
• Analyzes configuration errors and identifies required modifications.
• Supports new system implementations and upgrades.

Required Skills

• High School Diploma or GED
• 4 years Managed care, claims processing, and/or configuration of benefits/contracts/fee schedules/medical policy payment rules
• A bachelors degree may substitute for the required work experience
• Claims specialist or claims research analyst experience preferred (specifically experience working adjustments/appeals)
• Tapestry Benefits or Tapestry Contracts configuration experience-HARD REQUIREMENT

Preferred Skills

• Excel - vlookup, matching, pivot, sum, import, export
• Experience in Texas Medicaid preferred
• EPIC Tapestry Certifications preferred (2 or more)

REMOTE CANDIDATES: Must work during the hours of 9:00am - 6:00pm CST

LOCAL HOUSTON CANDIDATES: Must be willing to go into hospital

Pay range and compensation package - please send pay requests for this role

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Information Technology

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at TruBlu HR Solutions by 2x

Inferred from the description for this job

Medical insurance

Get notified when a new job is posted.

Sign in to set job alerts for “Configuration Analyst” roles.

Business Analyst with Supply Chain (ERP)- Onsite (Full Time)

Lead Configuration Manager, Gateway Xlabs - EN4-ESS

Business Analyst - Assessment and Vendor Selection

Business Analyst With Supply Chain Management - (Fulltime) - Hybrid

ERP Business Analyst (Cloud ERP Implementation)

Business Analyst with Oracle Supply Chain - Onsite (Full Time)

Systems Business Analyst - Slalom Flex (Project Based)

Business Analyst with Oracle Supply Chain - Onsite (Full Time)

Business Analyst - Default Systems and Support -(On - Site)

Business Analyst - Relocate to Saudi Arabia

BAS/HVAC Controls Specialist - International Travel

Business Analyst - Digital Transformation - Relocate to Saudi Arabia

Lead Configuration Manager, Gateway Xlabs

Houston, TX $102,890.67-$139,637.34 1 month ago

Business Analyst With Oracle JDE/EBS - Full Time

ETRM Business Analyst - Spotfire/Power BI & Endur

Houston, TX $75,000.00-$115,000.00 3 days ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.