Configuration Management Analyst

Neighborhood Health Plan of Rhode Island•Smithfield, RI
•Onsite

About The Position

The Configuration Management Analyst is an entry- to mid-level position responsible for analyzing, designing, building, testing, implementing, and maintaining system configurations that support business requirements and optimize system functionality. The role identifies opportunities for automation and enhancement, reviews system capabilities and limitations, and ensures adherence to the system development lifecycle and maintenance of supporting documentation. It requires strong analytical and problem-solving skills, the ability to work independently and proactively, and a commitment to excellent customer service. The analyst works with business and technical stakeholders to gather and translate requirements, configure systems, test changes, manage change control, coordinate production turnover, and resolve system and configuration issues. The role also performs business analysis for projects and maintenance requests, documents business processes, and coordinates simultaneous initiatives.

Requirements

  • Associate degree or relevant work experience and background in lieu of a degree.
  • At least two years of business analysis and benefits and claims system configuration experience, or similar demonstrated experience working with healthcare claim processing.
  • Prior experience in a healthcare organization or setting.
  • Strong interpersonal skills, including the ability to work across the organization and interact, influence, and negotiate effectively.
  • Ability to manage multiple priorities simultaneously in a deadline-driven environment.
  • Proficiency in MS Project, Excel, PowerPoint, and Word.
  • Strong verbal and written communication skills.

Nice To Haves

  • Experience with the HealthRules Payor transactional system.
  • Experience with JIRA.
  • Experience with Optum CES (Claims Editing Software).
  • Experience with SQL queries.
  • Experience with Burgess Source.

Responsibilities

  • Facilitate the gathering of business and technical requirements and test cases for configuration changes.
  • Work with project collaborators and Business Analysts to formulate and communicate business requirements and project scope.
  • Translate business requirements into technical specifications and explain technical questions and processes to business stakeholders.
  • Analyze requirements and objectives and perform system configuration analysis, design, coding, and unit testing in accordance with established processes and standards.
  • Develop and maintain standard operating procedure documentation for configuration tasks, including benefit plan creation and configuration.
  • Build and implement benefit plan adjudication rules.
  • Perform configuration changes in multiple test environments and coordinate testing timelines and project planning.
  • Research configuration in depth and create or review claims data to validate configuration results.
  • Manage change control when configuration results differ from expectations, working with Business Analysts and testing teams to identify solutions.
  • Develop and execute unit test cases and complete Configuration Control Framework documentation for audit requests.
  • Coordinate communication between business stakeholders and technical teams to validate and translate testing results and remediation needs.
  • Document configuration activity for change control and auditing.
  • Coordinate production turnover after business-owner approval and perform post-production validation.
  • Manage the Configuration Management Promotion process for HealthRules, Optum CES, Burgess Source, and other systems as needed.
  • Provide subject-matter expertise for root-cause analysis and issue resolution, including guidance on system functionality and limitations.
  • Develop proof-of-concept configuration prototypes and document solutions and processes.
  • Identify gaps between business expectations and system limitations and recommend configuration improvements or more efficient maintenance processes.
  • Perform peer quality reviews of configuration updates.
  • Coordinate Neighborhood Application Support ticket tracking and resolution for software, configuration, EDI, and CES tickets requiring test- or production-environment updates.
  • Perform business analysis for assigned corporate projects and maintenance requests.
  • Oversee development and documentation of new or changed functionality and business processes, including an annual audit comparing actual processes with documented processes.
  • Identify potential automation opportunities and assist with re-engineering business processes.
  • Recommend and maintain standards for business cases and their documentation.
  • Coordinate multiple concurrent projects and initiatives while maintaining routine business tasks.
  • Perform other duties as assigned.
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