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Configuration Analyst, Senior

4 months ago

French Camp, United States Health Plan San Joaquin Full time

The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

Remote: Must reside in California

What You Will Be Doing:

Under general direction, responsible for providing business and technical expertise to identify, develop, and implement QNXT configuration solutions.

Our Vision:

Continuously improve the health of our community.

Our Mission:

We provide healthcare value and advance wellness through community partnerships.

Essential Functions:

  • Identifies configuration opportunities and participates in workgroup sessions to facilitate effective solutions.
  • Assists business areas to identify, develop and/or update complex processes due to new or updated configuration.
  • Manages the end-to-end configuration process for the most complex configuration issues.
  • Reviews, prioritizes, and assigns configuration issues and requests; monitors progress, quality and quantity and makes timely and effective adjustments.
  • Provides training and guidance, and reviews work of less senior staff.
  • Supports all phases of the testing process; participates in peer review of testing and makes recommendations before test plan is promoted to production.
  • Oversees the code set process to ensure timely and accurate updates; communicates, or ensures others communicate changes to stakeholders.
  • Develops and maintains required documents and reports, including but not limited to desk level procedures.
  • Participates in the most significant QUsers groups, ensuring that HPSJ’s business interests are advanced.
  • Assists with change pack and version upgrades, including reviewing release notes, analyzing changes for impact, and making recommendations.
  • Assists with the planning, development and implementation of department strategies and associated tactics.
What You Bring:

Knowledge, Skills, Abilities and Competencies

Required
  • In-depth subject matter knowledge in at least four health plan functional areas.
  • In-depth knowledge of the features, functions, and configuration of all QNXT or equivalent modules, including batch system and capabilities.
  • Basic knowledge of database concepts and terminology, including interrelationships between data fields.
  • In-depth knowledge of the flow of data and information through a health plan.
  • In-depth knowledge of provider and/or facility contract and payment structures, and reimbursement practices, including capitation.
  • In-depth knowledge of procedure coding and medical terminology, and their application to provider setup.
  • In-depth knowledge of general medical benefits and exclusions.
  • In-depth knowledge of and ability to plan, organize and execute basic configuration testing processes.
  • Produces work that is accurate and complete.
  • Produces the appropriate amount of work.
  • Actively learns through experimentation when tackling new problems, using both successes and failures to learn.
  • Rebounds from setbacks and adversity when facing difficult situations.
  • Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
  • Strong assessment and analytical skills, with ability to determine key issues, develop effective actions plans and implement successful conclusions.
  • Time management and organizational skills. Uses time effectively and efficiently. Values time. Concentrates his/her efforts on the more important priorities. Can attend to a broader range of activities. Meets deadlines.
  • Basic leadership skills, including but not limited to the ability to influence without authority and motivate others.
  • Strong coaching skills, with the ability to function as a mentor to less senior staff.
  • Demonstrates a commitment to HPSJ’s strategy, vision, mission, and values.
  • Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
  • Strong oral and written communication skills, with the ability to communicate professionally, effectively explain complex information, and document according to standards.
  • Strong listening skills, with the ability to accurately receive and understand messages.
  • Ability to work independently and as part of a team.
  • Intermediate skills in Excel, Word, PowerPoint, Outlook, Visio, and Windows.
  • Advanced SQL skills, with ability to do queries, link tables.
  • Ability to speak and be understood in English.
  • Ability to treat confidential information with appropriate discretion.
What You Have:

Education and Experience

Required
  • Bachelor’s Degree; and
  • At least five years in configuration in a managed care health plan using QNXT or similar system; and
  • Experience configuring all QNXT or similar system modules; or
  • Equivalent combination of education and experience.
Preferred
  • Experience in configuration in managed care, Medi-Cal, Medicaid and/or Medicare.
Licenses, Certifications
  • None required.
What You Will Get:

HPSJ Perks:
  • Competitive salary
  • Robust and affordable health/dental/vision with choices in providers
  • Generous paid time off (starting at 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
  • CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
  • Two flexible spending accounts (FSAs)
  • Employer-Paid Term Life and AD&D Insurance
  • Employer-Paid Disability Insurance
  • Employer-Paid Life Assistance Program
  • Health Advocacy
  • Supplemental medical, legal, identity theft protection
  • Access to exclusive discount mall
  • Education and training reimbursement in addition to employer-paid elective learning courses.
  • A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.
  • A shorter commute ­– if you’re commuting from the Central Valley to the Bay Area.
  • Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.


We are an equal opportunity employer and diversity is one of our core values. We believe that differences including race, ethnicity, gender, sexual orientation, and other characteristics, will help us create a strong organization that is sensitive to the needs of those we serve. Employment decisions are made on the basis of qualifications and merit.

HPSJ provides equal employment opportunities to employees and applicants for employment and prohibits discrimination based on color, race, gender (including gender identity and gender expression), religion (including religious dress and grooming practices), marital status, registered domestic partner status, age, national origin (including language use) or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military or veteran status, political affiliation or any other characteristic made unlawful by applicable Federal, State or local laws. It also prohibits unlawful discrimination based on the perception that anyone has these characteristics or is associated with anyone who has or is perceived to have these characteristics.

Important Notice: This job description is not a contract between HPSJ and the employee performing the job. The duties listed in the job description may be changed at the discretion of HPSJ, and HPSJ may request the employee to perform duties that are not listed on the job description.