Configuration Analyst

POSITION TITLE:  Configuration Analyst

Business Unit: Payor – BpaaS

Position Description:

Our healthcare Business Process as a Service solution unites best-in class technology, layered with healthcare expertise to deliver efficient, effective operations. We are looking to hire a Senior Configuration Analyst to expand our Bpaas practice. This is an excellent opportunity for individuals who are passionate about making a significant impact in the healthcare sector while leveraging their technical and analytical skills.

Duties and Responsibilities:

• Configuration of Healthcare Payer (Health Plan) Core Administrative Platforms:
  • Design and configure the benefits, system parameters, and pricing requirements on the Health Plan (Payer) core administrative platforms for various lines of business, including Medicare, Medicaid, Commercial, and Individual-Exchange, ensuring compliance with business requirements and regulatory standards.
• Requirements Gathering and Analysis:
  • Collaborate with clients and internal stakeholders to gather and document configuration requirements, ensuring a clear understanding of client needs and project objectives.
• Configuration Design and Execution:
  • Develop detailed configuration designs, incorporating feedback from clients and internal stakeholders, and obtain approval prior to implementation.
  • Execute configuration activities as per the approved design, ensuring accuracy and alignment with client specifications.
• Testing and Quality Assurance:
  • Partner with the testing team to conduct thorough testing of configurations, review results, and make necessary adjustments to ensure quality and performance standards are met.

Minimum Required Skills and Qualifications:

• Minimum of 2+ years of experience in Configuration, with a focus on healthcare administrative platforms.
• Proven experience with configuration for Medicare, Medicaid, Commercial, and Individual-Exchange lines of business.
• Experience with HealthEdge HealthRules Payer (HRP) is required —Mandatory.
• Experience with HealthEdge Source (Burgess) or HealthEdge GuidingCare would be added advantage
• Strong communication skills, with demonstrated ability to engage effectively with clients and internal stakeholders.

Why Firstsource

• Firstsource wins TWO coveted awards at the Barndon Hall 2023 HCM Excellence Awards
• Digitally Empowered, Intelligent Backoffice, Platform Automation & Analytics 
• Global footprint with 1000+ hospitals in the US 
• Leader in Payer Digital Transformation Services and Rising Star in Payer BPaaS Services in ISG Provider Lens 2021 

• Ranked as Top Business Process Services (BPS) provider in “BPS Top 50” Report and Top 10 Service Providers by Growth by Everest Group 
• Top 3 BPO in the chosen Revenue Cycle Management segments in US Healthcare 
• More than 5,481 employees in the US with 21 centers 
• Our Values: we have a Reach Code -  a set of behaviors that guide our action, processes, experience and culture.