Configuration Specialist

Ram Technologies

1d • $50,000 - $100,000 • Remote

About The Position

The Configuration Specialist will be responsible for creating and maintaining a variety of system configuration to ensure compliance with client and regulatory business rules. This requires the ability to work closely with internal and external stakeholders to interpret business requirements, design solutions and complete changes within the system. The role also requires coordinating with industry third party software to ensure all rules are functioning appropriately to achieve desired results. In this role, the specialist must have excellent problem-solving skills, along with keen attention to detail and outstanding written and oral communication abilities.

Requirements

• 3-5 years in healthcare industry experience working in the payer segment in Medicare Advantage, Managed Medicaid, or working with other healthcare service providers.
• Experience in setting up and maintaining healthcare payor system configuration is required.
• Candidate must have knowledge of Medicare rules and the ability to translate into business outcomes.
• Strong SQL experience, MS Excel, MS Access. Exceptional interpersonal, listening, written and oral communication abilities a must.
• Attention to detail and the ability to work under time constraints are also required.
• A Bachelors of Science (BS), Bachelors of Arts degree (BA) or equivalent is preferred

Nice To Haves

• Experience in commercial lines of business is a plus.
• Experience with Healthcare EDI files and knowledge of Medicaid rules are a plus.

Responsibilities

• Review and translate business requirements into configurable components
• Design solution that drive highest levels of automated and accurate outcomes
• Develop, maintain and execute configuration changes including but not limited to benefits, pricing, member products/plans, premium billing, letters, other business rules and workflow
• Work with testers, operations and the client to ensure results match requirements
• Continuous validation of configuration environment to validate synchronization with current releases and coordinate environment updates as needed
• Document configuration changes, provide support in troubleshooting issues, track progress of completion and deployment of changes within expected timelines

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level