Lead Systems Configuration Technical Analyst
L.A. Care Health Plan
full-time
Posted on:
Location Type: Office
Location: Los Angeles • California • United States
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Salary
💰 $105,267 - $173,689 per year
Job Level
About the role
- Managing complex system configurations, health plan implementations and conversions
- Accurate interpretation of specific state/federal and/or business requirements
- Supporting integration and business process activities that utilize configuration as part of the end-to-end solution
- Identifying opportunities for improvement and suggesting ways to bridge the gap between inter-dependent departments
- Triage possible issues identified and implement applicable remediation
- Redesign complex business concepts resulting in correct processing conflicts
- Manage daily workflow and lead the work of assigned staff
- Mentor and coach team members and act as a resource
Requirements
- Bachelor's Degree
- Equivalent education and/or experience may be considered
- At least 5 years of experience in benefit, contract configuration and product interpretations in a healthcare/ health plan environment
- 5 years of claims experience
- 3 years in medical coding initiatives and guidelines
- Minimum of 3 years of lead experience (process, program, or staff)
- Expert level of knowledge of QNXT
- Excellent analytical, organization and communication skills
- In-depth knowledge of system analysis and configuration
- Ability to breakdown raw information and undefined problems into specific, workable components
- Ability to understand a customer's business needs and translate needs into specific requirements
- Ability to plan and account for configuration impacts across business processes and applications
- Demonstrated ability to collaborate with other members of formal and informal groups in the pursuit of common missions, vision, values and mutual goals.
Benefits
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
system configurationhealth plan implementationbusiness process integrationclaims processingmedical codingQNXTsystem analysisconfiguration managementdata interpretationproblem-solving
Soft Skills
analytical skillsorganizational skillscommunication skillsmentoringcoachingcollaborationleadershipworkflow managementprocess improvementcustomer needs assessment
Certifications
Bachelor's Degree