Business Configuration Analyst

Educology Solutions
Washington, DC, United States
28 days ago
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Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Experience level
Expert
Experience required
5 years minimum
Working hours
Regular working hours
Job source

Tech stack

Data Analysis Relational Databases HP Application Lifecycle Management Medicaid Management Information Systems (MMIS) QNXT

Job description

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.

About Educology Solutions

Employees first. Customer always. Mission driven. Everyone matters. Join the vibrant team at ESI where we prioritize our employees’ well-being and champion customer satisfaction above all else. Our culture is defined by a mission-driven approach, ensuring that every member contributes to our collective success. At ESI, we value the unique perspectives each individual brings to the table. Through collaboration and innovation, we’re reshaping the digital landscape of public sector services. If you’re passionate about making a difference, eager to grow professionally, and thrive in a supportive environment, join us in our journey to create impactful solutions and drive positive change.

Requirements

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., 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)., Analyzes client requests for proposals and applies advanced subject matter knowledge to solve complex business issues.

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