IS Lead Configuration & Quality Assurance Analyst

Job Responsibilities

• Collaborate in the planning, development, and deployment of new applications, and enhancements to existing applications
• Build, coordinate and perform in-depth test plans, test cases and functional testing, including end-user reviews, for modified and new systems, assuring proper user acceptance testing of completed projects and other post-implementation support
• Maintain effective communication with software vendors to ensure that Network Health’s specifications for new functionality, identified system defects and system implementation schedules are met
• Provide orientation and training to end users, along with coaching, mentoring and work direction to other IT staff members for all modified and new systems
• Support department leader by preparing and delivering reports, recommendations, or alternatives that address existing and potential trouble areas in operating systems across the organization
• Provide feedback to leader relating to individual staff performance
• Establish, monitor, measure and report on key quality and productivity metrics based on trend analysis, identifying action plans to optimize performance
• Monitor productivity and efficiency of operations
• Coach and educate the team on best practices in configuration, requirements gathering process, business/functional requirements management, and configuration implementations
• Identify, determine root cause and resolve operational problems and inefficiencies to ensure continued high-quality service to customers, and achieve required operational results
• Document processes and identify and adopt best practices to promote accuracy and efficiency
• Participate in planning, configuring, testing and implementing of system enhancements and assigned projects
• Comply with and apply standard practices in QNXT, EAM, NetworX Optum PPS and Rate Manager systems
• Maintain data accuracy to ensure service level agreements are met for the systems and customers being supported
• Represent company on user groups and at conferences and develop requirements for submission to vendors for system enhancements

Job Requirements

• Bachelor’s degree or 8 years of equivalent experience required
• 4+ years of direct configuration experience in Cognizant products or Optum Products- or similarly structured insurance / health care platforms (eg Epic, VBA) (depending on role area), including participation on user groups and attendance at release meetings for software with shared accountability with business partners/training for translating release information to users to apply correct changes/developments in software
• Minimum of 4 years’ experience in a health insurance or health care related field, with alternative educational requirements acceptable as more than 6 years of experience in health insurance with 4 years of experience in business analysis, EDI or configuration of systems from Cognizant, Optum or other claims processing systems
• Depending on functional team the role will be supporting, position may require: 4+ years’ experience as a coder or 4+ years experience working with provider contracts or payment
• SQL knowledge is preferred