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Tegria · 13 hours ago

HealthRules Configuration Analyst

United States

Full-time

Remote

Senior Level

Tegria is a company focused on improving healthcare through innovative solutions. They are seeking a Senior Configuration Management Analyst to manage system configuration, support business requirements, and optimize functionality while ensuring compliance with development processes.

Health CareHospitalInformation TechnologySoftware

H1B Sponsor Likely

Responsibilities

Collaborate with business areas to understand financial impact to the organization for approved Medical Cost Action projects

Triage, research, and resolve escalated issues within industry standard timeframes to meet service level agreements

Responsible for identifying areas of unused/underutilized system functionality to support business initiatives

Perform post-implementation audits to ensure configuration aligns with current business requirements and process

As required, facilitate and lead meetings and selected workgroups

Mentor and train Configuration Analysts on configuration best practices

Assist management in in onboarding new hires, acting as onboarding buddy, and leading training sessions

Assist 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 changes

Work with corporate project stakeholders and Business Analyst to formulate and communicate business requirements and scope of project

Work 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 understand

Analyze business requirements and objectives and perform system configuration analysis, design, coding, and unit testing following established processes, standards and procedures

Develop and maintain a library of standard operational procedures for all configuration tasks, including but not limited to creating and configuring benefit plans using best practice

Execute the build and implementation of benefit plan adjudication rules

Perform 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 use

Responsible for configuration in depth research, review, and creation of claims data to validate configuration output is performing as expected

Handle the change control process when configuration results do not match expected outcome, partners with Business Analyst and Testing team to find solutions as needed

Develop and execute multiple unit test cases and complete Configuration Control Framework documentation to support configuration audit requests

Act as a liaison between business stakeholders and technical teams to validate and translate unit, positive, negative and regression testing results and any remediation necessary

Coordinate and document all configuration activity for change control and auditing

Responsible for coordination of production turnover of all configuration work upon business owner sign off as well as post-production validation

Responsible for the Configuration Management Promotion process for HealthRules, Optum CES, and Burgess Source and other systems as needed

Serve as subject matter expert for root cause analysis and issue resolution, by providing guidance on system limitations and functionality

Develop proof of concepts prototype configuration to support business requirements and develop documented solutions and processes

Identify gaps between business expectations and system limitations and suggest configuration improvements or streamlined maintenance processes and techniques

Responsible for completing Peer Quality review of configuration updates

Coordinate with the Application Support ticket tracking and bringing to resolution any software, configuration, EDI, CES tickets that require updates to the test or production environments

Perform business analysis duties for designated corporate projects and maintenance requests

Oversee 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 documented

Identify potential areas of automation and aid in re-engineering the underlying business processes

Recommend and maintain standards for development of business cases and their documentation

Coordinate multiple simultaneous projects and initiatives, while maintaining business as usual tasks

Qualification

Health care operationsSystem configuration analysisBusiness requirements analysisConfiguration Management PromotionUnit testingAnalytical skillsCustomer serviceProblem-solving skillsMentoring

Required

Strong analytical and problem-solving skills

Ability to work independently and proactively

Demonstrated skills in providing excellent customer service

Extensive knowledge of all aspects of health care operations workflow and terminology

Experience in analyzing, designing, building, testing, implementing, and maintaining system configuration

Ability to identify areas of automation and enhancement to support and improve internal workflows

Experience in reviewing system capabilities and identifying gaps and limitations

Knowledge of the system development lifecycle and maintenance of supporting documentation

Ability to collaborate with business areas to understand financial impact

Experience in triaging, researching, and resolving escalated issues

Ability to perform post-implementation audits

Experience in facilitating and leading meetings and workgroups

Ability to mentor and train Configuration Analysts

Experience in onboarding new hires and leading training sessions

Ability to assist management with oversight of augmented staff

Experience in gathering business and technical requirements

Ability to translate business requirements into technical specifications

Experience in system configuration analysis, design, coding, and unit testing

Ability to develop and maintain a library of standard operational procedures

Experience in executing the build and implementation of benefit plan adjudication rules

Ability to perform configuration changes within multiple test environments

Experience in handling the change control process

Ability to develop and execute unit test cases

Experience in coordinating and documenting configuration activity for change control and auditing

Ability to coordinate production turnover of configuration work

Experience in the Configuration Management Promotion process

Ability to serve as subject matter expert for root cause analysis and issue resolution

Experience in developing proof of concepts prototype configuration

Ability to identify gaps between business expectations and system limitations

Experience in completing Peer Quality review of configuration updates

Ability to coordinate with Application Support ticket tracking

Experience in performing business analysis duties for corporate projects

Ability to oversee process development and documentation

Experience in identifying potential areas of automation

Ability to recommend and maintain standards for development of business cases

Experience in coordinating multiple simultaneous projects and initiatives

Benefits

We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.

We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.

Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.

Company

Tegria

Tegria is a virtual care platform that provides next-generation tech, and services to the healthcare sector. It is a sub-organization of Providence St. Joseph Health.

Founded in 2020

Seattle, Washington, USA

1001-5000 employees

https://tegria.com

H1B Sponsorship

Tegria has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2024 (1)

2022 (1)