HealthRules Configuration Analyst

Location: New York

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* Position Overview:

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* ** Duties and Responsibilities
** The duties for this position include, but are not limited to the following items:
· Collaborate with business areas to understand financial impact to the organization for approved Medical Cost Action projects
· Triage, research, and resolve escalated issues within industry standard time frames to meet service level agreements
· Responsible for identifying areas of unused/underutilized system functionality to support business initiatives
· Perform post-implementation audits to ensure configuration aligns with current business requirements and process
· As required, facilitate and lead meetings and selected work groups
· Mentor and train Configuration Analysts on configuration best practices
· Assist management in in onboarding new hires, acting as onboarding buddy, and leading training sessions
· Assist management with oversight of augmented staff by tracking performance, escalating issues, etc Serve as a key resource in facilitating the gathering of business and technical requirements in addition to test cases for all configuration changes
· Work with corporate project stakeholders and Business Analyst to formulate and communicate business requirements and scope of project
· Work with various business areas at different levels within the organization to translate business requirements into technical specifications documents and also act as liaison to translate technical questions and processes into a format the business can understand
· Analyze business requirements and objectives and perform system configuration analysis, design, coding, and unit testing following established processes, standards and procedures
· Develop and maintain a library of standard operational procedures for all configuration tasks, including but not limited to creating and configuring benefit plans using best practice
· Execute the build and implementation of benefit plan adjudication rules
· Perform all configuration changes within multiple test environments, coordinating with testing and project teams to establish timelines and project planning in an effort to maintain the integrity of the environment in use
· Responsible for configuration in depth research, review, and creation of claims data to validate configuration output is performing as expected
· Handle the change control process when configuration results do not match expected outcome, partners with Business Analyst and Testing team to find solutions as needed
· Develop and execute multiple unit test cases and complete Configuration Control Framework documentation to support configuration audit requests
· Act as a liaison between business stakeholders and technical teams to validate and translate unit, positive, negative and regression testing results and any remediation necessary
· Coordinate and document all configuration activity for change control and auditing
· Responsible for coordination of production turnover of all configuration work upon business owner sign off as well as post-production validation
· Responsible for the Configuration Management Promotion process for Health Rules, Optum CES, and Burgess Source and other systems as needed
· Serve as subject matter expert for root cause analysis and issue resolution, by providing guidance on system limitations and functionality
· Develop proof of concepts prototype configuration to support business requirements and develop documented solutions and processes
· Identify gaps between business expectations and system limitations and suggest configuration improvements or streamlined maintenance processes and techniques
· Responsible for completing Peer Quality review of configuration updates
· Coordinate with the Application Support ticket tracking and bringing to resolution any software, configuration, EDI, CES tickets that require updates to the test or production environments
· Perform business analysis duties for designated corporate projects and maintenance requests
· Oversee process development and documentation for any new or altered functionality or business process.  This will also include facilitating an annual audit of actual business processes versus what is…