Job DescriptionYour RoleThe Business Configuration Oversight team is responsible for Overseeing Configuration and delivery of Projects by vendor. The Platform Administrator, Consultant will report to the IT Development Manager. In this role you will also provide Facets application domain expertise, story refinement, design approvals and act as liaison between IT and business areas.
ResponsibilitiesYour WorkIn this role, you will:
- Analyze complex business requirements and software/product objectives to perform Oversight of the Configuration vendor
- Provide input in cross-functional work sessions to assess requirements and propose out-of-the-box platform solution options
- Ensure traceability of solutions back to performance goals and metrics
- Be responsible for end-to-end business solutions, including all areas of platform configuration and working with IT partners on interfaces, extracts or extensions, following established processes, standards and procedures (with manager oversight)
- Review and approve system configuration analysis, design, coding, and unit testing following established processes, standards, and procedures
- Be responsible for configuration and quality assurance of low to highly complex solutions using best practice and low-code platform configuration
- Facilitate resolution of escalated issues in the appropriate manner with appropriate timeframe by Configuration Vendor. Ensure traceability of solutions back to performance goals and metrics.
- Lead troubleshooting and root cause analysis, including meeting SLAs and stakeholder communication
- Act as the liaison between IT and business areas in support of extensions and service packs
- Work with team to identify process improvements and automation opportunities to improve quality and timeliness of configuration builds
- Be proficient with Facets Configuration with emphasis on Product Config and Shared Advantage line of business
- Be proficient in SQL scripts and Facets Data Model and should be able to write complex queries to pull Facets backend data
- Demonstrate effective communication with other business leaders and IT leaders regarding configuration capabilities
QualificationsYour Knowledge and Experience- Requires a bachelor's degree or equivalent experience
- Requires a minimum of 7 years of prior relevant experience
- Requires at least 7 years performing complex business analysis and/or technology healthcare operations
- Requires at least 3 years of experience in leading and mentoring the team
- Preferred knowledge of EDI 270/271 configuration, transaction rules and Claim Processing Rules (Procedure and Diagnosis Codes)
- Preferred at least 5 years of experience in a configuration analyst role, configuring health plan business applications
HybridThis role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
Physical Requirements:Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
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