Configuration Analyst, Associate
3 days ago
Your Role
The Pricing Analytics and Contract Configuration team is responsible for configuring systems to pay per negotiated provider contracts. The Configuration Analyst, Associate will report to the Pricing Analytics Contract Configuration Manager. In this role you will conduct build activity, run test claims to ensure future claims will be paying correctly based on the contractual terms. You will validate that the negotiated provider contracts were built correctly and according to the contract’s specification. You will support process improvements by identifying possible gaps and addressing remediations.
Your Work
In this role, you will:
- Analyze contract language to translate into specific pricing configuration with guidance
- Develop simple configuration approaches to support solution selection and develop documentation outlining the approach using appropriate documentation protocols
- Be accountable for the at least one contract type of configuration and testing of the assigned contracts
- Develop and execute claims tests to support the testing terms and services for in the negotiated contracts
- Work directly with Provider Contracting partners for clarifications when contract language may be unclear
- Analyze the provider contracts to ensure accuracy in the way it was built
- Service (internal customers) with an oriented/philosophy and work in a diverse, demanding and evolving environment where strong analytical, problem-solving skills, time management and organizational skills are required
Your Knowledge and Experience
- Requires a bachelor’s degree or equivalent experience
- 0-2 years of prior relevant experience
- Strong Claims knowledge and experience highly preferred
- Knowledge of FACETS, CLMS, MS Office Suite preferred
- Previous auditing experience and claims processing experience in a health plan preferred
- Strong analytical, problem-solving skills, time management and organizational skills
- Excellent interpersonal skills and ability to act as a team player
Pay Range:
The pay range for this role is: $ 26.20 to $ 36.68 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
#LI-CM1
-
Configuration Analyst, Associate
1 month ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The QC Pricing Analytics and Contract Configuration team is responsible for performing an in-line audit for all negotiated provider contacts. The QC Configuration Analyst, Associate will report to the QC Pricing Analytics Contract Configuration Manager. In this role, you will conduct audits and run test claims to ensure future claims will be paid...
-
Configuration Analyst, Associate
2 months ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The Pricing Analytics and Contract Configuration team is responsible for configuring systems to pay per negotiated provider contracts. The Configuration Analyst, Associate will report to the Pricing Analytics Contract Configuration Manager. In this role you will conduct build activity, run test claims to ensure future claims will be paying...
-
Configuration Analyst, Associate
1 month ago
Rancho Cordova, United States Blue Shield of California Full timeYour Role The QC Pricing Analytics and Contract Configuration team is responsible for performing an in-line audit for all negotiated provider contacts. The QC Configuration Analyst, Associate will report to the QC Pricing Analytics Contract Configuration Manager. In this role, you will conduct audits and run test claims to ensure future claims will be paid...
-
Configuration Specialist, Associate
3 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeYour RoleThe Contract Compliance and Pricing Analytics Team is responsible for performing an in-line audit for all negotiated provider contracts.The Contract Configuration Analyst, Associate will report to the Contract Compliance Manager.In this role, you will:Conduct audits and run test claims to ensure future claims will be paid correctly based on the...
-
Configuration Specialist, Associate
3 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeYour RoleThe Contract Compliance and Pricing Analytics Team is responsible for performing an in-line audit for all negotiated provider contracts.The Contract Configuration Analyst, Associate will report to the Contract Compliance Manager.Your ResponsibilitiesConduct audits and run test claims to ensure future claims will be paid correctly based on the...
-
Configuration Analyst, Associate
3 weeks ago
Rancho Cordova, CA, United States Blue Shield of California Full timeYour Role The QC Pricing Analytics and Contract Configuration team is responsible for performing an in-line audit for all negotiated provider contacts. The QC Configuration Analyst, Associate will report to the QC Pricing Analytics Contract Configuration Manager. In this role, you will conduct audits and run test claims to ensure future claims will be paid...
-
Configuration Analyst, Associate
1 week ago
United States, CA, Rancho Cordova Blue Shield of California Full timeYour Role The Pricing Analytics and Contract Configuration team is responsible for configuring systems to pay per negotiated provider contracts. The Configuration Analyst, Associate will report to the Pricing Analytics Contract Configuration Manager. In this role you will conduct build activity, run test claims to ensure future claims will be paying...
-
Configuration Specialist
7 days ago
Rancho Cordova, California, United States Blue Shield of California Full timeAbout the Role The Pricing Analytics and Contract Configuration team at Blue Shield of California is responsible for configuring systems to pay per negotiated provider contracts. As a Configuration Analyst, Associate, you will report to the Pricing Analytics Contract Configuration Manager and play a key role in ensuring the accuracy of contract...
-
SAP SuccessFactor
4 months ago
Rancho Cordova, United States eTek IT Services, Inc. Full timeJob DescriptionJob DescriptionJob DescriptionJob Title:& & SAP Analyst Employee Central Payroll (ECP)ESSENTIAL DUTIES AND RESPONSIBILITIES:At the direction of the HCM Technology Manager, the role will be responsible for producing and documenting business requirements, designing simple to medium and high complexity solutions, configuring SAP SuccessFactors...
-
Rancho Cordova, California, United States State of California Full timePosition OverviewUnder the supervision of the Staff Services Manager (SSM) I, the Analyst for the Incident Management and Training Unit plays a crucial role in the daily analytical functions of the Unit within the Project Management Branch of the Information Technology Services Division. This position is integral to the Department of Cannabis Control,...
-
Business Systems Analyst
5 days ago
Cordova, Tennessee, United States West Fraser Full timeAbout the RoleWe are seeking a highly skilled Business Systems Analyst to join our team at West Fraser. As a Business Systems Analyst, you will play a critical role in working closely with the business, sales, and shipping teams to determine their requirements and collaborate with technical teams to facilitate changes.Key ResponsibilitiesWork with business...
-
Quality Assurance Analyst I
2 months ago
Rancho Cordova, United States AMPAC Fine Chemicals Full timeJob DescriptionJob DescriptionSKpharmteco is a custom manufacturer of active pharmaceutical ingredients (APIs, Drug Substances) and registered intermediates for customers in the pharmaceutical industry. Our integrated facilities located in California, Texas, and Virginia specialize in process development, scale-up, and cGMP compliant production from...
-
Business Systems Analyst
6 days ago
Valdez-Cordova, United States West Fraser Full timeJob Title: Business Systems AnalystWe are seeking a highly skilled Business Systems Analyst to join our team at West Fraser. As a Business Systems Analyst, you will play a critical role in working closely with business stakeholders to identify and document business requirements, and collaborate with technical teams to implement solutions.Key...
-
Quality Assurance Analyst II
1 month ago
Rancho Cordova, United States AMPAC Fine Chemicals Full time $68,500 - $80,000Job DescriptionJob DescriptionSK pharmteco is a custom manufacturer of active pharmaceutical ingredients (APIs, Drug Substances) and registered intermediates for customers in the pharmaceutical industry. Our integrated facilities specialize in process development, scale-up, and cGMP compliant production from kilograms to multi-ton quantities. We are looking...
-
Database Systems Engineer
4 days ago
Rancho Cordova, California, United States Cynet Systems Full timeJob Title: Database Systems EngineerCynet Systems is seeking a highly skilled Database Systems Engineer to join our team. As a key member of our database administration team, you will be responsible for designing, implementing, and maintaining our database systems to ensure optimal performance and efficiency.Key Responsibilities:Partner with upstream...
-
Business Intelligence Developer
4 days ago
Rancho Cordova, California, United States eTeam Full timeJob Title: Business Intelligence DeveloperLocation: RemotePay Rate: up to $65/hr on W2Duration: 12+ MonthsJob Description:We're seeking a skilled Business Intelligence Developer to join our team at eTeam. As a key member of our data analytics team, you will be responsible for designing and developing business intelligence database solutions to support...
-
Security Systems Installation Specialist
3 weeks ago
Rancho Cordova, California, United States Johnson Controls International Full timeJob Summary:Johnson Controls International is seeking a highly skilled Security Systems Installation Specialist to join our team. As a key member of our security solutions team, you will be responsible for the installation, configuration, and maintenance of complex integrated security systems, including access control, CCTV, digital recorders, network...
-
Security Systems Installer
2 weeks ago
Rancho Cordova, California, United States Johnson Controls International Full timeJob SummaryWe are seeking a highly skilled Security Systems Installer to join our team at Johnson Controls International. As a key member of our organization, you will be responsible for the installation and configuration of complex integrated security systems, including access control, CCTV, and alarm systems.Key ResponsibilitiesInstall and configure...
-
Security Systems Installer
2 weeks ago
Rancho Cordova, California, United States Johnson Controls International Full timeAbout the RoleWe are seeking a highly skilled Security Systems Installer to join our team at Johnson Controls International. As a key member of our organization, you will be responsible for the installation and configuration of complex integrated security systems, including access control, CCTV, and digital recorders.Key ResponsibilitiesInstall and configure...
-
Business Intelligence Developer
6 days ago
Rancho Cordova, California, United States eTeam Full timeJob Title: Business Intelligence DeveloperLocation: Remote/HybridPay Rate: up to $65/hr on W2Duration: 12+ MonthsJob Description:We're seeking a skilled Business Intelligence Developer to design and develop business intelligence database solutions supporting Tableau and Power BI analytics dashboards and reports. The ideal candidate will have a strong...