About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary Primary Job Duties & Responsibilities Implements a comprehensive configuration management plan that outlines the strategy, policies, procedures, and guidelines for managing the organization's hardware, software, and documentation. Analyzes complex configuration data to provide insights into configuration management metrics, trends, and compliance issues. Applies in-depth knowledge of configuration management tools and systems to support organizational operations. Codes and/or writes custom configurations or extensions to tailor technology functions to the specific needs of the organization. Communicates with project managers, developers, and system administrators to align configuration management practices with project needs and organizational goals. Completes assessments to determine risks associated with configuration management, such as unauthorized changes, data integrity issues, and/or configuration drift. Conducts routine audits that guide the development of corrective actions and drive continuous improvement in configuration management practices. Communicates regularly with the release management team to ensure that new software releases and updates are properly configured and documented before deployment. Ensures that configuration management practices align with relevant industry standards, regulations, and security requirements.

Requirements

  • 1 year minimum of claims processing experience
  • Experience with system testing and post go-live validation
  • QNXT Experience
  • Familiarity with clinical and code editing concepts and products (Example: ClaimsXten, Cotiviti PPM & CV)
  • Extensive knowledge of CPT, HCPCS, ICD-10 coding

Nice To Haves

  • Prior Relevant Work Experience 3-5 years
  • Working knowledge of problem solving and decision making skills
  • Certified Information Systems Security Professional (CISSP) preferred.
  • Certified Analytics Professional (CAP) preferred.

Responsibilities

  • Implements a comprehensive configuration management plan that outlines the strategy, policies, procedures, and guidelines for managing the organization's hardware, software, and documentation.
  • Analyzes complex configuration data to provide insights into configuration management metrics, trends, and compliance issues.
  • Applies in-depth knowledge of configuration management tools and systems to support organizational operations.
  • Codes and/or writes custom configurations or extensions to tailor technology functions to the specific needs of the organization.
  • Communicates with project managers, developers, and system administrators to align configuration management practices with project needs and organizational goals.
  • Completes assessments to determine risks associated with configuration management, such as unauthorized changes, data integrity issues, and/or configuration drift.
  • Conducts routine audits that guide the development of corrective actions and drive continuous improvement in configuration management practices.
  • Communicates regularly with the release management team to ensure that new software releases and updates are properly configured and documented before deployment.
  • Ensures that configuration management practices align with relevant industry standards, regulations, and security requirements.

Benefits

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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