Operations Configuration and Integration Analyst

Los Angeles-Long Beach-Glendale, CA

Posted: 09/12/2019 Job Category: IT-PM/BA Job Number: 140380

Are you looking for a new and challenging opportunity? Do you have experience in automated medical claims? Technology Partners can help you make your next big career move a reality.

Technology Partners is currently seeking a talented Operations Configuration and Integration Analyst.

What You Will Be Doing:
You will analyze, interpret, load, test and maintain configurable tables, files and software that are utilized to support claim adjudication which include and but are not limited to; claim adjudication rules edits, benefit plan support, and provider reimbursement rules. You will assist in development and execution of testing scenarios, test conditions. You will perform unit and/or end user testing for new configuration, programming enhancements, new benefit designs, new provider contracts, and software changes as necessary that effects claim adjudication rules. You will proactively identify opportunities and recommends system solutions that increase automation, resolve system deficiencies and enhance claims processing to meet and exceed business requirements. You will stay abreast of company business strategies and marketplace trends to ensure business decisions meet future needs. You will research and resolve claim problems or issues that are configuration related in a timely and accurate manner. You will develop system queries to determine the scope of the problem and recommends possible solutions to management. You will be a technical reference for other areas in translating system specifications and operations. You will interact and coordinate system programming changes and schedules as necessary with the IS Business Analysts and Programmers. You will develop and maintain a comprehensive knowledge of the claims adjudication rules, MC400 editing and claim processing programs, Macess imaging system and claim related software packages that are utilized in claims adjudication.

What We Are Looking For:
  • Bachelors Degree or an equivalent combination of education and experience in a managed care environment.
  • Minimum two to three years of experience in an automated medical claims environment and managed care/multiple product environment desired.
  • Minimum one to two years of experience in systems logic and testing desired
If this position sounds like you, WE SHOULD TALK!

We realize our people are our most valuable asset, that is why we offer the following benefits:
  • Health, Dental, and Vision insurance
  • 401(k) retirement plan
  • Long and Short-Term disability
  • Life insurance
  • Direct deposit
  • Referral program
Your better future is ready, and we want to put the right tools in your hands to get you there. Let's go!
Looking for more opportunities with Technology Partners?

Check out jobs.Technologypartners.Net.
Technology Partners is an Equal Opportunity Employer. Technology Partners does not discriminate on the basis of race, color, religion, sex, national origin, age, disability or any other characteristic protected by applicable state or federal civil rights laws.

Lee Santos
Recruiter

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