Exemption Status:
United States of America (Non-Exempt)
$22.24 - $28.90 - $35.57
“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”
This position is not eligible for Sponsorship.
MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!
Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.
At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!
Job Description
Summary
The Configuration Analyst provides support for the client configuration of benefits, pharmacy and formulary, supporting the intake, design, configuration, and in-unit testing of all change requests for assigned clients.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Applies pharmacy, formulary, and benefit configuration to effectuate change as specified in submitted change requests.
Ensures assigned due dates for submitted change requests are met.
Performs all workflow activities (preassessment, design, configuration and in-unit testing of Level 1 and 2 tasks).
Acquires a thorough understanding of MedImpact system logic for claims adjudication, including but not limited to system constraints, conflicting benefit logic configurations and benefit coding table designs to ensure proposed design satisfies the intended solution.
Troubleshoot and perform research on basic to moderately complex claims processing issues or customer inquiries and promptly responds to service failures, resolves issues, and escalates concerns as appropriate.
Ensure consistent customer experience by proactively participating in configuration of plan design through consultation and collaboration with external clients, client team members, other internal business partners, to ensure that business requirements for change requests are clearly understood, documented, developed, communicated, tested, and delivered flawlessly.
Use standardized methodology to ensure that appropriate rationale exists for non-standard designs and that all efforts are undertaken to prevent inefficient and non-sustainable configuration structures.
Perform in-unit testing and validation to confirm configuration design processes as expected, meets customer requirements and that all appropriate forms and documentation are fully and accurately completed.
Utilize project planning and organizational skills to ensure timely deliverables, prioritizing high levels of quality and efficient use of resources to achieve claims adjudication accuracy.
Supervisory Responsibilities
No supervisory responsibilities
Education and/or Experience
BS/BA and 1+ years’ experience or equivalent combination of education and experience
Computer Skills
Intermediate knowledge of MS Office / Word, PowerPoint, Outlook and MS Excel. The ability to run SQL queries and script load.
Certificates, Licenses, Registrations
Pharmacy Technician License or National Certification preferred
Other Skills and Abilities
Ability to gather business requirements and client specifications. Demonstrate ability to…