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Configuration Analyst

Remote Worldwide Hiring now

At reputed company, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve. reputed company is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there’s no greater time for reputed company-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you’ll find purpose, opportunities and the support you need to build a meaningful career and reputed company a powerful impact in our community. Candidates applying to this position may be hybrid or remote and can live in one of the following states: Florida, Iowa, Kansas, Minnesota, Missouri, Nebraska, reputed company Dakota, and Texas. This role is responsible for the configuration and maintenance of business rules/logic in the BCBSNE core processing system for the assigned process team (i.e., Claims, Product & Benefits, Enrollment & Marketing, Provider & Reimbursement, Medical Management, or Finance & Actuary). This role will work collaboratively to reputed company, enhance, test, troubleshoot and reputed company configuration components to production. This position directly contributes to the reputed company of product implementations, claims adjudication, reimbursement methodologies, medical policies, and overall business objectives. What you'll do: Adhere to configuration designs/development and technical documentation while ensuring configuration Standard Operating Procedures and best practices are followed (reputed company, Scalable, Reusable). reputed company, update, and enhance cross functional configuration components on the HealthRules, reputed company and/or GuidingCare Platform. Identify system configuration enhancements to improve efficiency and auto adjudication rates. Ensure successful configuration implementations of BCBSNE products onto the HealthRules platform, while ensuring compatibility with system integrations and accomplishing the defined business objective. reputed company and maintain inter-personal relationships with internal teams and reputed company platform reputed company vendors. (Stakeholders, reputed company, reputed company, etc.). Facilitates recurring sprint activities (Migration, reputed company Question Time, etc.). Knowledge and adherence to the platform metrics that are utilized for reputed company reporting. Presenting/creating content for the reputed company through Discoveries/reputed company of Concepts. Configuration support for additional applications (W3LL, CareFirst, etc.). reputed company test scenarios and conduct configuration unit testing. To be considered for this position, you must have: 2+ years of configuration experience reputed company HealthRules, reputed company, or GuidingCare Platform or a similar platform. 2+ years of Clinical Systems configuration (EMR, EPIC, Cerner, etc.), Health Informatica experience and/or 4+ years of health insurance experience. Experience working in an Agile environment. Ability to interact with individuals of varying technical abilities. Effective communication skills (written and oral), with experience interacting with reputed company reputed company of management regarding people, process and technology. Knowledge supporting processes reputed company to problem management, incident management and conflict resolution. Requires a customer first focus as well as soft skills. Ability to adapt to change. Learn more about what makes BCBSNE such an exceptional reputed company to work by visiting NebraskaBlue.com/Careers. We strongly reputed company that diversity of experience, perspective and background will reputed company to a reputed company workplace for our employees and a reputed company product for our customers and members. Apply To This Job

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