Benefit Configuration Analyst

Benefit Configuration Analyst

Job Ref: TE0126
Category: Human Resources
Department: INFORMATION TECHNOLOGY
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Regular
Employment Type: Full-Time
Salary Range: $85,000.00 - $95,000.00

The Benefit Configuration Analyst will be responsible for constructing the Claims Processing Systems to process new enrollments. Experienced candidates must demonstrate working understanding of claims processing systems and
working knowledge of the health care industry.

Scope of Role & Responsibilities

Configure MHP’s core systems to meet regulatory requirements and business needs.

Meet with business areas to gather configuration requirements.

Create and maintain Core Systems user guide related to configuration changes.

Create and maintain Core Systems user guide related to configuration changes.

Test system modifications and configuration changes.

Analyze business process to improve efficiencies.

Create templates on benefits to track current configuration.

Ensure system processes and services are aligned with the department’s need.

Analyze the system to ensure claims are processed correctly to prevent the company from liabilities.

Collaborate with MetroPlusHealth system consultants to correct errors, rectify omissions, and investigate questionable issues.

Identify potential system problems for claims resolution.

Analyze business processes, gather the requirements, and document the requirements in line with the strategic initiative

Review test cases making sure they are in accordance with requirements and assist the overall testing process.

Conduct ongoing reviews of systems and processes to ensure accurate and optimum setup for claims.

Attend meetings with managers regarding process plans, functionality, and business processes.

Receive, coordinate, and manage requests for Systems Modifications

Maintain and track open issues and coordinate releasing testing

Document policies and procedures

Ability to run reports utilizing sequel

Monitor and Manage Core Systems performance

Respond to escalated issues from various MetroPlusHealth Departments.

Perform and assist with any other functions as required by the Director of Core Systems Operations

Participate in special projects as needed.

Required Education, Training & Professional Experience

A Baccalaureate Degree from an accredited college or university; and

Five (5) years of progressive, responsible experience in configuration for data processing, computer systems and applications; or

A satisfactory equivalent combination of training, education and experience.

Professional Competencies

Integrity and Trust

Customer Focus

Functional/Technical skills

Written/Oral Communication

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