Configuration Analyst
Nityo Infotech Corporation
1 month ago
Role details
Contract type
Permanent contract Employment type
Full-time (> 32 hours) Working hours
Regular working hours Languages
English Experience level
IntermediateJob location
Remote
Tech stack
Information Systems
Data Streaming
Job description
- Design, analyze, and implement benefit coding change requests with a high level of precision, ensuring alignment with client specifications and regulatory requirements.
- Gather, interpret, and evaluate complex client requirements to assess the impact of benefit designs on claims processing; effectively communicate tailored benefit setup options to stakeholders and internal teams, thereby advising on optimal solutions.
- Manage non-standardized plan design concepts and client programs by overseeing coding, rigorous testing, and validation processes to ensure accuracy and compliance.
- Lead collaborative dialogues within cross-functional teams to clarify client intent and optimize program setups, fostering alignment across project deliverables.
- Serve as a key troubleshooter by coordinating resolution efforts among multiple internal and external teams; ensure timely implementation of solutions and maintain high client satisfaction.
- Partner with technical and operations teams to translate client-specific requirements into detailed technical design specifications and data flow models, supporting development and coding efforts.
Requirements
- Demonstrated knowledge of claims processing methodology with compulsory experience in working within Facets platforms.
- Expertise in benefit configuration and group setup processes, enabling precise and compliant benefits administration.
- Previous exposure to Healthcare Business Process Outsourcing (BPO) environments, delivering operational efficiencies and client-focused solutions.
- A minimum of 3 years' professional experience in claims processing within Facets environments, showcasing strong problem-solving and technical skills.
- Educational background meeting at least a high school diploma or equivalent undergraduate coursework relevant to healthcare or information systems.
