Platform Administrator, Consultant

About the role

The Business Configuration Oversight team is responsible for overseeing the configuration and delivery of projects by vendor. The Platform Administrator, Consultant will report to the IT Development Manager. In this role, you will provide application domain expertise, story refinement, design approvals, and act as a liaison between IT and business areas.

Responsibilities

• Analyze complex business requirements and software/product objectives to perform Oversight of the Configuration vendor
• Provide input in cross-functional work sessions to assess requirements and propose out-of-the-box platform solution options
• Ensure traceability of solutions back to performance goals and metrics
• Be responsible for end-to-end business solutions, including all areas of platform configuration and working with IT partners on interfaces, extracts or extensions, following established processes, standards and procedures (with manager oversight)
• Review and approve system configuration analysis, design, coding, and unit testing following established processes, standards, and procedures
• Facilitate resolution of escalated issues in the appropriate manner with appropriate timeframe by Configuration Vendor
• Ensure traceability of solutions back to performance goals and metrics
• Lead troubleshooting and root cause analysis, including meeting SLAs and stakeholder communication
• Act as the liaison between IT and business areas in support of extensions and service packs
• Work with team to identify process improvements and automation opportunities to improve quality and timeliness of configuration builds
• Be proficient with Facets Configuration with emphasis on Product Config and Shared Advantage line of business
• Be proficient in SQL scripts and Facets Data Model and should be able to write complex queries to pull Facets backend data
• Demonstrate effective communication with other business leaders and IT leaders regarding configuration capabilities

Qualifications

• Requires a bachelor’s degree or equivalent experience
• Requires a minimum of 7 years of prior relevant experience
• Requires at least 7 years performing complex business analysis and/or technology healthcare operations
• Requires at least 3 years of experience in leading and mentoring the team
• Preferred knowledge of EDI 270/271 configuration, transaction rules and Claim Processing Rules (Procedure and Diagnosis Codes)
• Preferred at least 5 years of experience in a configuration analyst role, configuring health plan business applications

Benefits

Hybrid: This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week. Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

About Us

About Blue Shield of California: As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values

• Honest
• Human
• Courageous

Physical Requirements

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail.

Equal Employment Opportunity

All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

JOB INFO

Job Identification : 20261094
Job Category : Business Operations
Posting Date : 2026-06-22T14:45:38+00:00
Job Schedule : Full time
Locations : El Dorado Hills, CA, United States
Long Beach, CA, United States
Lodi, CA, United States
Oakland, CA, United States
Rancho Cordova, CA, United States
Redding, CA, United States
San Diego, CA, United States
Woodland Hills, CA, United States
Pay Range for California : $111500.00 to $167400.00
Pay Range for Bay Area : $125700.00 to $188700.00
Note : Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles. Role can be filled by a candidate requiring sponsorship : No