Description

Medical Associates Health Plans is hiring a Configuration Analyst to join their team! Candidates must have analytical experience, claims processing background preferred.

Configuration Analyst Role:
To configure and maintain claims adjudication subsystems as necessary to maximize accuracy and efficiency of claims payment along with maintenance of non core business systems (HIPAA, EDI web portal, etc.)

Schedule: General business hours Monday-Friday with flexibility. 

Benefits Package Includes:

• Single or Family Health Insurance with discounted premium rates for wellness program participation.
• 401k with immediate matching (50% on the dollar up to 7% of pay) + additional annual Profit Sharing
• Flexible Paid Time Off  Program (24 days off/year)
• Medical and Dependent Care Flex Spending Accounts
• Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

Essential Functions & Responsibilities:

• Research and implement process to improve information subsystems to ensure maximum efficiency of the Health Plan core business system (claims system) and non-core business systems (HIPAA EDI and web tools).
• Responsible for configuration, testing and maintenance of subsystems; with proficiency in three or more subsystems.
• Guide, train and advise business users and team members along with assistance in problem resolution.
• Perform simple and complex analytical duties for claims, EDI and web tools upon request.
• Prepare documentation for assigned area of responsibility
• Complete all other assigned projects and duties

Knowledge, Skills and Abilities:

Experience: Three years to five years of similar or related experience. Analytical experience required. Claims experience preferred.

Education: Equivalent to a high school education.

Interpersonal Skills: Courtesy, tact, and diplomacy are essential elements of the job. Work involves personal contact with others inside and/or outside the organization, generally regarding routine matters for purposes of giving or obtaining information, which may require some discussion.

Physical Aspects:

Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.

Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.

Grasping - Applying pressure to an object with the fingers and palm.

Talking - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.

Hearing - Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.

Vision - 20 / 40 or better in the best eye with or without correction.

Repetitive Motions - Substantial movements (motions) of the wrists, hands and/or fingers.

Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Environmental Conditions: None - The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work).

Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status. Please view Equal Employment Opportunity Posters provided by OFCCP here.