17 Apr
Configuration Analyst
Maryland, Baltimore , 21201 Baltimore USA

Vacancy expired!

Job Description:Scope and Purpose of Position- The Configuration Analyst configures vision benefit programs in CVX / Plexis and other integrated systems that support client program requirements gathered through the sales process using innovative thinking to maximize system capabilities. Essential Functions
  • Use strong analytical skills with knowledge of business rules associated with claim payment, adjudication, and benefit administration/provider reimbursement
  • Perform assigned daily work to meet all internal and external service level expectations.
  • Perform initial and peer-to-peer level quality review and test procedures to ensure all components of benefit programs are correct
  • Participate in departmental and ad-hoc meetings and work groups, as designated.
  • Provide peers with cross-training to ensure that consistent methodologies and best- practice strategies are utilized
  • Perform project work as assigned by Management.
Education & Experience
  • Preferred bachelor's degree in related field or equivalent combination or experience and education
  • One to three (3) years of related experience
  • Prior experience as a senior analyst, senior customer service representative, senior provider service representative, or senior claim processing in claim operations, or similar role.
Competencies
  • Professional written and verbal communication and interpersonal skills
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
  • Ability to write routine reports and correspondence.
  • Ability to speak effectively before groups of customers or Associates of the organization.
  • General mathematical skills to include basic adding, subtracting, multiplication and division
  • Ability to think logically in following procedures and instructions
  • General problem-solving abilities
  • Exhibit sound and accurate judgment and demonstrate accuracy and thoroughness

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