Senior Health Plan Configuration Architect

Texas Children's; Texas; On-site; USD 90,000 - 120,000; Full time

Job summary

Texas Children's is seeking a Configuration Analyst, Sr. to manage advanced system updates across multiple configuration areas within Business Operations.

The role supports new health plan implementations and conversions, designing configurations for benefits, coding, contracts, fee schedules and claim editing rules in line with state requirements. The ideal candidate will have 4 years in managed care or related configuration, strong analytical and communication skills, and EPIC Tapestry

Qualifications

• HS Diploma or GED required.
• 4 years' experience in managed care, claims processing, and/or configuration of benefits/contracts/fee schedules/medical policy payment rules.
• A bachelor's degree may substitute for two years of required work experience.

Responsibilities

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

Skills

Med Policy Configuration

Healthcare industry knowledge

Analytical skills

Organizational skills

Time management

Leadership

Self-motivation

Independent work

Collaboration

Written/verbal communication

Education

HS Diploma or GED

Bachelor's degree substitute for 2 years experience

Tools

EPIC Tapestry Certifications

Job description

Texas Children's is seeking a Configuration Analyst, Sr. to manage advanced system updates across multiple configuration areas within Business Operations.

The role supports new health plan implementations and conversions, designing configurations for benefits, coding, contracts, fee schedules and claim editing rules in line with state requirements. The ideal candidate will have 4 years in managed care or related configuration, strong analytical and communication skills, and EPIC Tapestry