Incedo Configuration Analyst

Healthaxis-posted 9 months ago
Full-time
Remote • Tampa, FL
Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
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HealthAxis is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. We are transforming the way healthcare is administered by providing innovative technology and services that uniquely solve critical healthcare payer challenges negatively impacting member and provider experiences. We live and work with purpose, care about others, act with integrity, communicate with transparency, and don't take ourselves too seriously. We're not just about business - we're about people. Our commitment to a people-first approach shapes everything we do, from collaborating as a team to serving our valued clients. We believe that creating a vibrant and human-centric environment can inspire engagement, empower our team members, and ignite a sense of purpose in all that we accomplish.

  • Meet regularly with clients or vendors and perform analysis based on the determined issues or concerns.
  • Gather requirements if changes are needed and work with development team to ensure item build is per client's needs.
  • Work with clients, vendors, outsourced companies, and other external personnel to resolve issues affecting systems and operations.
  • Configure, implement, and maintain Incedo or similar UM platforms (e.g., InfoMC) in alignment with business requirements and operational needs.
  • Collaborate with cross-functional teams to ensure smooth system integration and functionality.
  • Support and troubleshoot platform issues, ensuring timely resolution and minimal system downtime.
  • Analyze data and provide insights to optimize utilization management workflows and claims processing.
  • Provide training and support to end users on the effective use of the platform.
  • Participate in testing and quality assurance processes for new configurations and updates.
  • Ensure compliance with regulatory and payer-specific requirements.
  • Collect, analyze, and document business and technical requirements for cross functional projects from both clients and vendors.
  • Develop testing plans and perform UAT testing prior to client releases to ensure acceptability of deployed items.
  • Run analysis on client, vendor and departmental data and performance. Examine, formulate corrective options, and recommend actions for peak performance.
  • Configure, test and document system solutions, as needed, for clients and vendor.
  • Work with client/integrated vendor or internal departments to ensure release items are fully understood and have thorough release notes.
  • Assist with onboarding process of all new clients and integrated vendors.
  • Assist, as necessary, with the integration process of all new business partnerships.
  • Review and analyze processes and procedures to identify needs and provide recommendations with high emphasis on continuous improvement.
  • Daily monitor and troubleshoot systems, working cooperatively with others to achieve long term resolution of errors.
  • Lead and coordinate team in cross functional projects and achieve timely and accurate deliverables.
  • Work with other team members to provide guidance, training, and technical direction.
  • Sustain business relationships that foster open communication and are built on integrity, and mutual respect.
  • Build and develop business relationships at multiple levels within the organization and outside with our clients and other partners.
  • Utilization Management or Medical Management knowledge is required.
  • Strong understanding of claims processing within a healthcare payer environment.
  • Experience with Incedo, InfoMC, or similar utilization management platforms is required.
  • LPN/RN background is preferred.
  • Intermediate to advanced technical skills, with the ability to configure and troubleshoot platform issues.
  • Ability to work independently and within a team to meet deadlines and deliver results.
  • Strong problem-solving skills and attention to detail.
  • Excellent communication skills, both written and verbal.
  • Experience working in a healthcare payer environment.
  • Familiarity with HIPAA regulations and other healthcare-related compliance standards.
  • Prior experience in clinical data analysis or reporting.
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