Junior Configuration Analyst

Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.

JOB SUMMARY: 

Centers Plan for Healthy Living is seeking a Jr. Configuration Analyst. The role will aid in configuration design, analysis, testing, and documentation related to the QNXT software platform regarding, but not limited to, code sets, fee schedules, benefits, sponsors, contracts, and authorizations. The Jr. Configuration Analyst will assist in coordination of various aspects of planning, development, implementation, communication and evaluation of existing or new functionality related to QNXT. 

PRIMARY RESPONSIBILITIES:             

• Assist in validation of code sets, fee schedules and overall system configuration. 
• Tests claims to make sure claims are being processed correctly as per the contract and benefit terms. 
• Create and maintain all appropriate logs for all testing and validation activities.  
• Ensures the proper supporting documentation exists and is maintained for all configuration activities. 
• Coordinates configuration activities with other staff (e.g. business analysts, development team.) and provides feedback to leadership regarding any problems, process issues, policies or procedures which may be of concern or need to be addressed within the configuration system. 
• Can effectively meet deadlines for assigned tasks  

EDUCATION AND EXPERIENCE: 

Education 

Required:   Associates degree in medical, business or related field 

Preferred:   Bachelors/ Masters degree preferred 

Type of Experience      

Required:    

• Well-developed problem solving and analytical skills.  
• Self-starter, with ability to work independently to complete work and projects 

Preferred:   

• Prior configuration experience. 
• Knowledge of institutional/provider billing practices, Claims Processing and related coding procedures.  
• Prior experience using the QNXT platform version 4.7 or greater. 

Specific Technical Skills 

Required:   

• Proficiency with MS Office Suite 

Preferred:   

• Use of Microsoft Access or similar query tool.  
• Knowledge of SQL, data structures or a programming language 

Certifications/Licensure: 

Required:    n/a 

Knowledge and Skills: 

PHYSICAL REQUIREMENTS: 

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• Must be able to travel within the five boroughs, Rockland, Erie and Niagara 

The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification.  They should not be construed as an exhaustive list of all responsibilities, duties and skills required. 

Centers Plan For Healthy Living is committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our employees and our business. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law and will not be denied employment.