Kelly Services Sr. Configuration Analyst (QNXT) in Bakersfield, California
POSITION TITLE: Sr. Configuration Analyst
SALARY: $80 - 120K (DOE)
LOCATION: Bakersfield, CA
This position is responsible for managing major system configurations, health plan implementations and conversions within the System Configuration team. The primary responsibilities include the accurate interpretation of specific state and/or federal guidelines that impact benefits, contracts, codification, and business requirements and converting them into configuration parameters within the core systems. Other responsibilities are coding, updating and maintenance benefit plans, provider set-up (demographic and contracts affiliations), fee schedules and various system tables through the user interface.
The Sr. Configuration Analyst elicits complex business requirements through group meetings, interviews, observation, and/or existing systems, and business or policy documentation. This role independently mentors and contributes to the Configuration Analysts team with complex and comprehensive documentation of the technical requirements or systems modifications in a format that facilitates a business and technical communication and understanding amongst the business department or individuals. The Sr. Configuration Analyst must have the ability to independently analyze or mine data, draw sound conclusions, and is able to interpret and follow detailed and precise written and oral instructions such as checklists, process diagrams, and policy. The Sr. Configuration Analyst will lead communications and facilitation efforts to present the documented findings and results from an analytical engagement. The position will be required to work with and mentor people of various professional, vocational, and educational backgrounds.
Essential Duties and Responsibilities:
Independently works with Executives, Management, Staff, or Business analysts to identify, document, and redesign complex business concepts or processing conflicts.
Lead and mentor in technical areas and independently provide knowledge and documentation exchange to educate team members in Analytical roles in support of team redundancy.
Master and provide formal user education with software productivity and technical tools such as Microsoft Office, Visio, Team Foundation Server, or Attachmate to document business and technical process requirements related to a technology system.
Ability to independently create technical processing macros using programming logic and native functions to perform repetitive or analytical tasks within productivity software such as Microsoft Office and Attachmate.
Comprehend, analyze, and document business or process requirements using personal interviews, document analysis, meetings, surveys, process documents, or actual scenarios.
Take on duties of a Project Manager for medium to large sized projects using standard PMBOK processes to identify scope, requirements, resources, and stakeholders using standard analysis techniques.
Analyze and document functional business environments that facilitate work throughout the company.
Develop complex business requirement specifications through internal and external research to complete technical analysis, and articulate and formally present research to various skill levels.
Lead business meetings leveraging the Agile process to assist business units in the
Lead Configuration and Project teams in the Agile
Effectively communicate and collaborate with internal and external customers in support of analytics or problem resolution.
Successfully engage in multiple complex initiatives simultaneously
Recommend reconciliation points necessary after a comprehensive process or data analytics engagement to mitigate/resolve present and future reconciliation conflicts.
Possess excellent verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts.
Limited skills in capacity of the various department technological resources and their roles in order to provide detailed analytics in everyday communications.
Master of the American National Standards Institute (ANSI) formats that govern healthcare Electronic Data Interchange (EDI).
Expert ability in the structure query language (SQL) for analytical data mining, software development, TFS, and business reporting.
Comprehend and implement system configuration changes of the managed care core system software to process data transactions for business functions such as eligibility, claims, authorizations, and case management.
Mentors and leads in the creations of testing plans that are used in the testing and implementation of software systems used by the organization.
Comprehensive understanding in medical terminology to include ICD, CPT, and HCPCS coding systems.
Oversee, identify, and create process checklists, for self and other analysts, which will be used to process programs and applications to support departmental activities.
Bachelors degree in Computer Science, Mathematics from an accredited institution or related field and six (6) years progressive experience in a Configuration Analyst capacity or similar Analytical position for a medium to large organization with a structured IT department in healthcare.
Healthcare experienc e: 10+ years.
Claims Operations or application vendor experience : 5 + years.
Benefit and Contract Configuration experience: 3+ years
Experience interpreting benefits, contracts and other business requirements: 5+ years
Experience in medical coding initiatives and coding guidelines: 3 + years
Expert level of knowledge in QNXT
Must have basic technical skills that come from a Degree in Information Systems or 6-8 years of general analytical experience.
Why Kelly ® ?
With Kelly, you’ll have direct connections to leading IT organizations in the best companies around
the globe—offering you the chance to work on some of today’s most intriguing, innovative and high-
visibility projects. In a field where change is the only constant, our connections and opportunities
will help you take your career exactly where you want to go. We work with 95 of the Fortune 100™
companies, and more than 3,000 IT hiring managers turn to us each year to access the best talent:
people like you.
Last year we found 8,000 opportunities for IT professionals. Let us help advance your career
AboutKelly Services ®
As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter .
Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females,
Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is
committed to employing a diverse workforce. Equal Employment Opportunity
is The Law.