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Associate Configuration Analyst Job
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| Employer Name: |
SpiderID: 13775236 |
| Location: El Dorado Hills, California |
Date Posted: 6/21/2024 |
| Wage: Negotiable |
Category: Insurance |
| Job Code: 170027E-2191 |
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Job Description:
 Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California's Mission is to ensure all Californians have access to high-quality care at an affordable price. Blue Shield is focused on improving health care delivery by working closely with providers and making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 4 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than $325 million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution.
We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.
Description:
Provides solution engineering, data analysis support, testing and hands-on configuration of the Trizetto applications. This includes effectively implementing new application capabilities and subsequently assuming on-going operational responsibility for enhancing and maintenance of the applications. Works with business process leaders to translate new business requirements and processes into package requirements and subsequent effective configuration. Typically entry and/or developing level. Applies professional principals and techniques to standard work assignments but seeks guidance on more complex work.
Hands on configuration/implementation knowledge of core benefit administration package software (e.g., Facets, NetworX, EDS Meta Vance) or hands on subject matter expertise in Blue Plan operational processes.
Experience in claims processing (both professional and facility claims) preferred.
Strong understanding of product benefit structures is a plus.
- Analysis of business level requirements to translate into Facets application configuration with guidance from vendors and supervision of mentor or manager.
- Development of prototype configuration to support solution selection and develops documented solutions and processes using appropriate documentation protocols. Ensures traceability of configuration solutions back to performance goals and metrics.
- Accountable for the simple configuration and unit testing of one or more of the following health plan package applications: Group/Member, Provider Networks/Pricing, Benefits/Products, Claims/Workflow, Customer Service/Access. Tasks are performed under supervision.
- Continually evaluates and analyzes systems applications and business processes; analyze system business impacts and risks; makes recommendations for improvements and modifications to ensure optimum functioning of implemented systems.
- Provide day-to-day configuration guidance to requirements gathering sessions, while gaining deep functional/business operations knowledge, application configuration, information management, and operational support.
Qualifications:
- 1-2 years performing complex business &/or technology operations including experience with healthcare benefits (such as HMO, PPO, Custom and ASO products) or 2+ years claims processing experience
- Strong written communication skills
- Demonstrated competence with MS Word and Excel are pluses.
- Strong understanding of database concepts and competence with MS Access/SQL Developer are preferred.
Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: Blue Shield of California |
Company Type: |
| Company: Blue Shield of California |
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