Senior Configuration Management Analyst

Neighborhood Health Plan of Rhode Island; Smithfield (RI); Presencial; USD 110.000 - 150.000; Jornada completa

Descripción de la vacante

Neighborhood Health Plan of Rhode Island is seeking a Senior Configuration Management Analyst to lead analysis, design, build, testing, and maintenance of configuration to support health plan operations.

The role focuses on optimizing workflows, ensuring adherence to the SDLC, and documenting changes. You will mentor analysts, coordinate cross-functional projects, and ensure configurations meet business requirements across health care workflows and systems.

Formación

• Bachelor’s degree or equivalent healthcare experience.
• Minimum five (5) years of business analysis and system configuration in healthcare.
• Strong knowledge of health care operations and SDLC processes.
• Experience translating design into configuration requirements.
• Excellent stakeholder management and communication.

Responsabilidades

• Collaborate with business areas to translate requirements into configuration changes.
• Lead post-implementation audits to ensure configuration aligns with needs.
• Perform unit testing and maintain configuration documentation.
• Coordinate change control and production turnover after sign-off.
• Mentor junior analysts and support onboarding.

Conocimientos

Configuration mgmt

Business analysis

SQL queries

JIRA

HealthRules

Burgess Source

Optum CES

Documentation

Educación

Bachelor’s degree or equivalent experience

Herramientas

JIRA

HealthRules

Optum CES

Burgess Source

Descripción del empleo

The Senior Configuration Management Analyst is senior level position responsible for the analysis, design, build, testing, implementation, and maintenance of system configuration to support business requirements and optimize system functionality. This position is responsible for identifying areas of automation and enhancement to support and improve internal workflows, review system capabilities, and identify gaps and limitations. In addition, this role is responsible for ensuring adherence to the system development lifecycle and maintenance of all supporting documentation. The role requires strong analytical and problem-solving skills, the ability to work independently and proactively as well as demonstrated skills in providing excellent customer service. Extensive knowledge of all aspects of heath care operations workflow and terminology is also required.Duties and ResponsibilitiesThe duties for this position include, but are not limited to the following items:Collaborate with business areas to understand financial impact to the organization for approved Medical Cost Action projectsTriage, research, and resolve escalated issues within industry standard timeframes to meet service level agreementsResponsible for identifying areas of unused/underutilized system functionality to support business initiativesPerform post-implementation audits to ensure configuration aligns with current business requirements and processAs required, facilitate and lead meetings and selected workgroupsMentor and train Configuration Analysts on configuration best practicesAssist management in in onboarding new hires, acting as onboarding buddy, and leading training sessionsAssist management with oversight of augmented staff by tracking performance, escalating issues, etcServe as a key resource in facilitating the gathering of business and technical requirements in addition to test cases for all configuration changesWork with corporate project stakeholders and Business Analyst to formulate and communicate business requirements and scope of projectWork with various business areas at different levels within the organization to translate business requirements into technical specifications documents and also act as liaison to translate technical questions and processes into a format the business can understandAnalyze business requirements and objectives and perform system configuration analysis, design, coding, and unit testing following established processes, standards and proceduresDevelop and maintain a library of standard operational procedures for all configuration tasks, including but not limited to creating and configuring benefit plans using best practiceExecute the build and implementation of benefit plan adjudication rulesPerform all configuration changes within multiple test environments, coordinating with testing and project teams to establish timelines and project planning in an effort to maintain the integrity of the environment in useResponsible for configuration in depth research, review, and creation of claims data to validate configuration output is performing as expectedHandle the change control process when configuration results do not match expected outcome, partners with Business Analyst and Testing team to find solutions as neededDevelop and execute multiple unit test cases and complete Configuration Control Framework documentation to support configuration audit requestsAct as a liaison between business stakeholders and technical teams to validate and translate unit, positive, negative and regression testing results and any remediation necessaryCoordinate and document all configuration activity for change control and auditingResponsible for coordination of production turnover of all configuration work upon business owner sign off as well as post-production validationResponsible for the Configuration Management Promotion process for HealthRules, Optum CES, and Burgess Source and other systems as neededServe as subject matter expert for root cause analysis and issue resolution, by providing guidance on system limitations and functionalityDevelop proof of concepts prototype configuration to support business requirements and develop documented solutions and processesIdentify gaps between business expectations and system limitations and suggest configuration improvements or streamlined maintenance processes and techniquesResponsible for completing Peer Quality review of configuration updatesCoordinate with the Neighborhood Application Support ticket tracking and bringing to resolution any software, configuration, EDI, CES tickets that require updates to the test or production environmentsPerform business analysis duties for designated corporate projects and maintenance requestsOversee process development and documentation for any new or altered functionality or business process. This will also include facilitating an annual audit of actual business processes versus what is documentedIdentify potential areas of automation and aid in re-engineering the underlying business processesRecommend and maintain standards for development of business cases and their documentationCoordinate multiple simultaneous projects and initiatives, while maintaining business as usual tasks.Other duties as assignedQualificationsRequired:Bachelor’s degree or a minimum of nine (9) years of relevant work experience and background equating to the degree in a health care settingMinimum of five (5) years of business analysis and system configuration experience (or comparable skill set) working in a healthcare settingDemonstrated working knowledge of health care operations including but not limited to authorizations, benefits, enrollment, provider contracting, fiscal operations and claims adjudicationDemonstrated working knowledge of system development life cycle processesExperience in identifying solutions to resolve design issues and to effectively communicate these solutions to the project manager/supervisor as well as stakeholdersExperience in translating the results of design sessions into configuration requirementsExperience in user acceptance testing based on business and configuration requirementsExceptional ability to identify and track issues and drive them to a conclusionDemonstrated ability in leading process improvement initiativesExperience producing project artifacts to include status reports, business requirements, non-technical design documents, etc.Excellent interpersonal skills, including the ability to work across the organization and to interact, influence and negotiate effectively at all levels of managementDemonstrated ability to manage multiple priorities simultaneously in a deadline driven environment with accurate resource and time estimatesConfident team builder and leader with strong motivational skills. Adept in problem solving and resolving conflictProficient in Microsoft Office Suite – Word, Excel, PowerPoint, Visio, Outlook, SharePointPreferred:Bachelor’s Degree in Health Care or TechnologyExperience with Optum CES claim editing softwareExperience with the Health Rules Payor Transactional SystemWorking knowledge of State and Federal insurance programsWorking knowledge of standard billing practicesWorking knowledge of CMS mandates and guidelinesCertified Professional Coder certificationExperience with JIRAExperience with SQL queriesExperience with Burgess SourceNeighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.