Vacancy expired!
Job Description
At NTT DATA Services, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA Services and for the people who work here.Senior Configuration Analyst - HealthRules(Temporary - 6-8 month assignment)Position DescriptionThis position is responsible to design, configure, test, implement and maintain HealthRules Payor pricing, claims and/or benefit configuration, according to business requirements, to support accurate and efficient claims processing and data reporting. Investigate and resolve configuration-related provider, member and claim processing issues and assist other departments in understanding HealthRules Payor configuration. Lead complex configuration projects, annual readiness configuration and care system contract implementations.Responsibilities- Develop and maintain an understanding of current HealthRules Payor configuration, contracts, products, and policies.
- Analyze, configure, test, implement and maintain HealthRules Payor to support changes in contracts, products, legislation, and policies and procedures, ensuring timely maintenance and updates of configuration.
- Test, implement, and train on new HealthRules Payor and third party product releases, modules and updates.
- Assist in the development of test scenarios for changes and/or projects.
- Manage the timely resolution of open testing bugs and issues.
- Develop and monitor postproduction audit reports to ensure the intent of change and/or project requirements is being met.
- Develop and maintain configuration documentation and communicate changes, as appropriate.
- Work with Technical Business Analyst, UAT and QA to create detailed functional requirements that support and align to business requirements and testing scenarios.
- Research and respond to service requests in a prompt and timely manner and update or build configuration in HealthRules Payor as needed.
- Recommend and draft new and updated procedures to maximize the use of HealthRules Payor and other third-party products to improve efficiency.
- Develop and maintain good working relationships with the staff of other departments including Provider Relations & Contracting, Healthcare Economics, Provider Assistance Center, Government Relations, Product, and Coverage Policy.
- Inform leader and peers of changes that will impact the company.
- Research and recommend methods to improve or implement necessary changes in a prompt and efficient manner. Other projects and duties as assigned.
- Five years of configuration experience or a combination of claims processing, healthcare system operations, data analytics and configuration.
- 2+ years' experience with HealthRules
- Must possess working knowledge of managed care operations, system development and testing.
- Microsoft Office proficiency.
- Experience using Business Objects.
- Ability to build and maintain relationships across the enterprise.
- Strong knowledge of government programs, regulations, and benefits.
- Previous experience with CMS, Client or payer reimbursement methodologies and /or payment policies. Knowledge of or experience with Optum Claims Editing System (CES) and Axiom TranSend.
Vacancy expired!