Business Configuration Analyst in Washington, District of Columbia at Educology Solutions

Configuration Analyst - Senior

PLEASE NOTE: MUST LIVE IN WASHINGTON DC PROPER TO BE CONSIDERED

DUTIES & RESPONSIBILITIES

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.
Additional Required Skills:

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).
QUALIFICATIONS

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

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.