Clinical Care Advance Configuration Analyst III

About the role

The CCA Configuration Analyst III is responsible for the analysis, design, and maintenance of the Clinical Care Advance system and other assigned systems. They serve as a subject matter expert who identifies and resolves configuration issues, recommends improvements, and ensures high quality work. The role works closely with peers and management to troubleshoot system issues, support requirements and updates, and ensure interdepartmental needs are met.

Responsibilities

• Gather and document requirements, perform analysis, and develop configuration design to meet business needs.
• Manage complex system configuration and related documentation. Serve as a subject matter expert for configuration change management testing and best practices. Facilitate production controls and system configuration data codification.
• Monitor and review system edits and conduct advanced root cause analysis to identify issues and provide clear recommendations for resolution, including issues requiring multi-disciplinary technical skills.
• Identify and facilitate the implementation of process improvements and best practices.
• Interface and collaborate with peers and management throughout Healthcare Services and the organization to support configuration management best practices and system configuration life cycle management. Support project and program plans and tracking of configuration changes, operational issues, and resolutions.
• Represent the team on internal and external committees related to the system solution.
• Provide system-based recommendations regarding enhancement requests and the implementation of enhancement features.
• Lead and manage configuration project timelines to meet agreed upon deliverables.
• Coordinate the preparation and execution of test plans to validate that configuration updates and system fixes are complete and accurate and that enhancements function as designed.

Requirements

• Bachelor’s degree in business or healthcare related field. Equivalent education and experience may be considered.
• Minimum of 5 years of experience in a Systems Configuration, Claims, or Operations department within a healthcare organization.
• 2 to 5 years of experience working with clinical and care management systems such as the CareAdvance Enterprise Application.
• Working knowledge of enterprise systems such as Facets.
• Advanced knowledge of health plan configuration, including healthcare services, medical management, population health management, and industry care guidelines such as Milliman Care Guidelines.
• Knowledge of configuration change management methodologies, standards, and best practices.
• Experience with project management methodologies and the ability to manage projects and initiatives independently end to end.
• Proficiency in Microsoft Office products.
• Ability to understand business needs at both clinical and technical levels and translate them into configuration requirements.
• Ability to analyze processes, document workflows, perform gap analysis, and develop future state standardized workflows.
• Strong communication and meeting facilitation skills, with the ability to collaborate effectively with peers, management, and vendors.
• Strong analytical, organizational, and time management skills, with the ability to meet agreed upon timelines with accuracy.
• Ability to work well under pressure with constantly shifting priorities.
• Ability to maintain regular attendance, confidentiality, and a professional business image.

Qualifications

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

Skills

• Systems Configuration
• Claims
• Operations
• Healthcare Services
• Medical Management
• Population Health Management
• Industry Care Guidelines
• Configuration Change Management Methodologies
• Project Management
• Microsoft Office Products
• Business Needs Analysis
• Workflow Documentation
• Gap Analysis
• Future State Standardized Workflows
• Communication and Meeting Facilitation
• Time Management
• Under Pressure Work
• Professional Business Image

Benefits

• Medical
• Dental
• Vision
• Pharmacy
• Life
• Disability
• 401K-Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Pay

$71,990.85 - $89,988.57 annually (depending on experience)

Schedule

This is a FT WFH position.