Configuration Analyst

Avalon Administrative Services LLCTampa, FL
8hRemote

About The Position

Reporting to the Manager, Configuration the Configuration Analyst is responsible for updating managed care claims processing, maintenance and support of interfaces and third-party applications, process flow updates and enhancements. This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida.

Requirements

  • At least 3 years of experience developing and managing business requirements throughout a project lifecycle.
  • Experience in or knowledge of the health care business and customer service.
  • Intermediate knowledge of Microsoft Excel and Access.
  • Experience with use case testing.
  • 1 - 2 years’ experience in reporting, with a preference for intermediate knowledge of SQL
  • Knowledge of one or more of the following areas of health plan operations - configuration, utilization, claims processing, and/or reimbursement.
  • Proven analytical and project management skills, including a thorough understanding of how to interpret customer business needs and translate them into application and operational requirements.
  • Facilitation skills that include workgroup leadership, problem resolution across multiple groups, etc.
  • Willingness to work in various capacities and to learn new skill sets.

Responsibilities

  • Perform analyses of Avalon laboratory benefits management configuration in order to determine and create use cases for regression testing.
  • Ability to take requirements from medical policy translation documents and successfully incorporate these as rules in the Avalon laboratory benefits management configuration file.
  • Run regression testing prior to Production releases for Avalon Claim Editor to ensure optimal functionality of the Claim Editor.
  • Development and maintenance of ReadyAPI! test suite for regression testing management.
  • Validate and/or provide input to LBM global rules process flows.
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