Sr. Configuration Analyst - EPIC Tapestry

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

The Configuration Analyst, Sr. role is responsible for the activities related to advanced system updates that can impact more than one piece of the configuration. New health plan implementations and conversions within Business Operations. Designs configurations solutions to meet new business requirements and performs updates for benefits, coding, contracts, fee schedules and 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.

Knowledge and Skills

• Knowledge in at least three of the areas under the purview of Med Policy Configuration: benefits, contracting, coding, fees schedules, or claim edits (CES).
• Knowledge of current managed care business practices and adjudication systems used by the Health Plan.
• A working knowledge of the healthcare industry, preferably health insurance/managed care.
• Collaboration, written and verbal communication, detailed analytical and organizational skills; ability to manage time with competing priorities; self-motivation; leadership; and ability to work independently with minimum supervision.
• Additional required knowledge includes claims processing, configuration of contracts, benefits, fee schedules, and Claims Editing System; ability to interpret business requirements into system coding edits, and testing of configuration builds.
• Two or more EPIC Tapestry certifications strongly preferred.

Required

• H.S. Diploma or GED
• 4 years' experience: Managed care, claims processing, and/or configuration of benefits/contracts/fee schedules/medical policy payment rules. A bachelor's degree may substitute for two (2) years of required work experience.