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Job Description From Client:

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 core system and the related surround systems, applications, and databases (e.g., Clinical CareAdvance (CCA), Process Communication Tracking (PCT), Claims Test Pro, etc.).

Responsibilities

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 improvementsFacilitate user acceptance test planning, test case specifications, test execution, peer reviews defect management, and test status reporting.Perform other duties as assigned.

Education Required

Bachelor's degree in Business Administration or related fieldIn lieu of degree, equivalent education and/or experience may be considered.Education Preferred: Master's degree in Business Administration or related field

Experience Required:

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.

Preferred:

At least 5 years' experience working with a California Medi-Cal managed care plan or commercial health plan, medical group, or management services organization.

Skills Required:

Advanced knowledge of and experience with Medicare and Medicaid rules and regulations and related core and surround systems code and data sets, etc.Configuration exp - understanding business requirements of the various departments, understanding the systems they use, and creating these letters, templates, assessments for the team to access and utilize.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.

Must-Haves:

Document configuration experience within Health Services, Population health or Utilization management. Configuration of letters, templates, health risk assessments, etc.

Nice-to-Haves:

Configuration within QNXT or Hyland OnBase a huge plus. Syntranet also a plus. TT1427631LAX-LM_1756157335 To Apply for this Job Click Here