Medical Provider Configuration Analyst I

Moda Health•Portland, OR

3d•Remote

About The Position

The Medical Provider Configuration Analyst I is responsible for performing configuration activities, assisting in research and resolution of configuration issues, and supporting system testing and projects. This position focuses on learning and applying provider configuration principles in Facets or similar systems. This is a FT WFH position.

Requirements

Bachelor's degree or equivalent combination of education and experience.
0-2 years of experience in health insurance or a related field.
Proficient in Microsoft Office, especially Excel; eagerness to learn advanced Excel functions for data analysis.
Basic SQL knowledge.
Basic knowledge of healthcare provider data and claims processing preferred.
Strong analytical and critical thinking skills with the ability to apply business rules to configuration tasks.
Basic understanding of data integrity and quality assurance practices.
Ability to follow standards for data validation and spreadsheet preparation.
Strong attention to detail, organizational skills, and ability to manage multiple priorities effectively.
Ability to learn new concepts quickly and adapt to changing processes.
Good written and verbal communication skills.
Ability to work well in a remote team environment.
Maintain a professional appearance and demeanor in all internal and external interactions.

Nice To Haves

Basic knowledge of healthcare provider data and claims processing

Responsibilities

Analyze and configure provider information in the system following established procedures and business rules.
Perform data analysis and validation using Excel, including formulas, data sorting and VLOOKUP functions.
Prepare and validate provider rosters for Robotic Automation System (RAS) processing.
Identify and resolve provider configuration errors using SQL.
Report data issues to the lead or supervisor.
Participate in projects with guidance from senior team members.
Assist in documenting configuration processes and updating department manuals.
Conduct quality reviews of configuration work and submit for timely auditing.
Attend training to improve skills and knowledge.
Follow quality standards and help with quality checks.
Perform other duties as assigned.