Configuration Analyst
Avalon Healthcare Solutions
Configuration Analyst
Reporting to the Manager, Configuration, the Configuration Analyst is responsible for updating managed care claims processing, maintenance and support of interfaces and third-party applications, process flow updates and enhancements.
This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida.
Configuration Analyst – Essential Functions and Responsibilities:
- Perform analyses of Avalon laboratory benefits management configuration in order to determine and create use cases for regression testing.
- Ability to take requirements from medical policy translation documents and successfully incorporate these as rules in the Avalon laboratory benefits management configuration file.
- Run regression testing prior to Production releases for Avalon Claim Editor to ensure optimal functionality of the Claim Editor.
- Development and maintenance of ReadyAPI! test suite for regression testing management.
- Validate and/or provide input to LBM global rules process flows.
Configuration Analyst – Minimum Qualifications:
- 3+ years of relevant work experience
- Bachelor's degree in Business or similar field or equivalent work experience
- At least 3 years of experience developing and managing business requirements throughout a project lifecycle.
- Experience in or knowledge of the health care business and customer service.
- Intermediate knowledge of Microsoft Excel and Access.
- Experience with use case testing.
- 1 - 2 years' experience in reporting, with a preference for intermediate knowledge of SQL
- Knowledge of one or more of the following areas of health plan operations - configuration, utilization, claims processing, and/or reimbursement.
- Proven analytical and project management skills, including a thorough understanding of how to interpret customer business needs and translate them into application and operational requirements.
- Facilitation skills that include workgroup leadership, problem resolution across multiple groups, etc.
- Willingness to work in various capacities and to learn new skill sets.
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