Sr. Configuration Analyst

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Company: Educology Solutions, Inc.

Location: Washington, DC 20011

Description:

Configuration Analyst - Senior

Top 3 Required Skills:
  • Very proficient (at least 5 years' experience) configuring in QNXT (Focus on the following areas: Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Successful Data Points for X12 Transactions, CARCs/RARCs).
  • Thorough understanding of relational database concepts and schemas.
  • Competent writing complex SQL queries for data analysis.


Additional Required Skills:
  • Experience working with Medicaid/MMIS systems. Preferred experience includes DDI (Design, Development, and Implementation) and operation & maintenance phase.
  • Experience processing Medicaid claims & encounters and ability to troubleshoot adjudication results.
  • Experience with Requirement Traceability Matrices.
  • Preferred experience working with HP Application Lifecycle Management (ALM).


Essential Job Duties:
  • Analyzes client requests for proposals and applies advanced subject matter knowledge to solve complex business issues.
  • Adheres to and supports Configuration team approach and other configuration principles, methodologies, and practices.
  • Works closely with the implementation team to analyze and document client's business requirements and processes. Communicates these requirements by constructing configuration deliverables.
  • Researches and defines solutions for new configuration, legislation, or client rules.
  • Creates and presents solution, proof of concept, or testing results to customer for new business processes or outcome requests.
  • Completes configuration within schedule timelines and configuration best practices.

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