Los Angeles, CA, USA
1 day ago
Core Systems Configuration Analyst II
Kforce has a client in Los Angeles, CA that is seeking a Core Systems Configuration Analyst II. Summary: The Systems Configuration Analyst III Core Systems is responsible for the more complex technical and analytical work related to the maintenance, update, etc. of the configuration of the Core Systems applications, and databases (e.g., QNXT Migration Utility, Claims Workflow, Claims Test Pro, NetworX Pricer, etc.). This position serves as a subject matter expert who has the ability to proactively identify and independently rectify issues and opportunities for configuration improvements. As the subject matter expert, this position performs peer review and applies advanced skillset to ensure quality of the work product. This position collaborates closely with peers and management within the department as well as throughout and outside of the organization to trouble-shoot and facilitate the maintenance and update of the most complex configuration of the various modules of our core systems, applications, and databases as well as facilitate end-to-end interdepartmental and enterprise projects. This position also provides well thought-out recommendations for vendor enhancement of the core products. Responsibilities: * Manage complex benefit dictionaries, evidence of coverage tables, provider contractual obligations (including capitation and fee-for-service contracts), Division of Financial Responsibility (DoFR), etc. and related documentation * Serve as a subject matter expert for configuration change management testing and related best practices. Facilitate production controls and system configuration data codification * Monitor and review systems edits, response time issues, etc. and conducting related advanced root cause analysis to identify issues and provide well thought-out recommendations for resolution * Identify and facilitate the implementation/enhancement of systems, process improvements, and best practices
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