Tailored Management · 9 hours ago
Configuration Analyst/Administrator
Mason, OH
Full-time
Hybrid
Senior Level
$0/hr - $47.79/hr
5+ years expTailored Management is seeking a Sr. Configuration Analyst to join their Business Configuration Solutions team. The primary responsibilities include designing, implementing, and executing member benefit configuration strategies while leading cross-functional meetings and capturing business requirements for Medicaid program implementations.
ConsultingHuman ResourcesInformation Technology
Responsibilities
Serve as a Sr. Configuration Analyst on the Business Configuration Solutions team. Responsible for the enablement of member benefit configuration strategies by designing, implementing, and executing Configuration
Lead projects for the Configuration space to enable system and process solutions for the Business Configuration tool sets
Serve as a subject matter expert for the Business Configuration team interfacing with EyeMed’s cross functional teams implementing solutions for client requirements
Serve as a subject matter expert representing the Configuration workstream for large Government Implementations for Medicaid, Med/Surgical, and Medicare programs
Provide Data Analysis and troubleshooting expertise on Configuration tool sets with automated processes
Prepare data for analysis by removing duplicates, errors, and outliers and perform data validation. Should be able to build SQL queries to pull backend data based on configuration need
Serve as a Business Analyst documenting requirements, process flows, and execute testing for enhancements to improve the automation toolset for Configuration
Self-manage and prioritize work to achieve designated service level agreements. Also, meet key performance indicators of the Business Configuration solution team for Projects
Collaborate with Configuration leaders on the Configuration roadmap deliverables that enable automation of EyeMed’s product and network offerings
Provide Fit/Gap Analysis and Feedback Assessments on new client plans as Configuration is leveraged to bring on new business
Develop and maintain positive working relationships with team members and other stakeholders, including business partners at all levels of EyeMed leadership
Qualification
Required
SQL/Database experience
Healthcare claim understanding/benefit configuration
Facets
Analytical & problem solving skill
Operating System: Windows
Applications: Facets
Automation tools: EyeMed's homegrown tool developed in Informatica
Testing tools: Oracle SQL for data validation and Facets for claims testing
Bachelor's degree or equivalent work experience
Preferred
5+ years' experience with Facets platform, Medical Plan Benefit Configuration, Provider Network & Agreement Configuration, Understanding for Medicare/Medicaid
Excellent analytical and problem-solving skills, quick learning
Strong communication and interpersonal skills
Benefits
Paid weekly
Health, dental + vision insurance available!
Company
Tailored Management
Tailored Management is a staffing and recruiting company that offers information technology staffing and recruitment services.
501-1000 employees
H1B Sponsorship
Tailored Management 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
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2020 (2)
Funding
Current Stage
Late StageLeadership Team
Jeff Anderson
Managing Partner & Client Relations Executive
Savannah Deskins
Manager, Administration & Office of the CEO
Company data provided by crunchbase