Job description
Our Client, Provides health insurance for low-income individuals, is seeking an Quality Configuration Analyst II
Location: Los Angeles, CA
Position Type: Contract
Job Summary:
The Quality Configuration Assurance Analyst II supports integration and business process activities that utilize configuration by performing more complex technical and analytical work related to the testing, validation, and quality assurance of business requirements, including, but not limited to, managing and maintaining testing and quality assurance-related documentation and applying related industry best practices. This position is responsible for providing well thought-out recommendations for end-to-end business process and/or configuration improvements (as applicable, based on timely identification, analysis, and validation of opportunities for improvement) for the client core system and the related surround systems, applications, and databases (e.g., Clinical CareAdvance (CCA), Process Communication Tracking (PCT), Claims Test Pro, etc.).
Duties:
- Identify, analyze, and validate well thought-out recommendations for end-to-end business process and/or configuration improvements.
- Manage and maintain testing and quality assurance-related documentation.
- Interface and collaborate with peers within and outside the department and the organization to support configuration quality assurance best practices as well as business process and systems configuration improvements
- Facilitate user acceptance test planning, test case specifications, test execution, peer reviews defect management, and test status reporting.
- Perform other duties as assigned.
Skills & Experience:
- At least 5 years of experience in a Systems Configuration, Claims or other Operations department.
- Experience with identifying and analyzing the impact of systems configuration on business processes, other systems, and applications.
- Advanced claims experience with QNXT or equivalent claims processing system.
- Experience with Health Services/population health systems.
- Quality Assurance experience in the health care industry.
- At least 5 years’ experience working with a California Medi-Cal managed care plan or commercial health plan, medical group, or management services organization.
- Advanced knowledge of and experience with Medicare and Medicaid rules and regulations and related core and surround systems code and data sets, etc.
- Strong communication, analytical, organizational, and time-management skills.
- Ability to meet strict, tight deadlines with a high level of accuracy.
- Ability to prioritize multiple tasks.
Education:
- Bachelor's Degree in Business Administration or Related Field
- In lieu of degree, equivalent education and/or experience may be considered.
- Master's Degree in Business Administration or Related Field
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