"Alerted.org

Job Description

Will perform various analysis and interpretation to link business needs and objectives for assigned function. Review requirements documents and validate discrepancies or missing information. Consult with assigned operational areas to support business requirements, goals and metrics. Ensure timely configuration and implementation of selected solutions either by directly completing the solution or providing specifications and/or instructions for completion of the solution. Accountable for complying with all laws and regulations that are associated with assigned duties and responsibilities.

Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of the Facets database and supporting applications. Train new resources and act as a mentor to guide them through the configuration process.

Responsibilities:

Ability to demonstrate the core values for Integrity, Compassion, Relationships, Innovation, and Performance

Loading new industry codes into Facets tables

Updating industry code information residing in Facets

WorkFlow updates related to industry code updates

Monitor Business Configuration queues and resolve code issues

CES policy updates and configuration

Design new configuration to support business needs and functionality

Accurately create, update, implement and test configuration changes

Accurately document changes and communicate changes with the business

Analyze business requirements, test plans, training materials and procedure documents

Create and execute test plans and test case scenarios to ensure requirements are being met

Troubleshoot claims and Helpdesk issues related to configuration and pricing

Create and maintain configuration related to provider data

Run and/or Participate in development of detail design and system walk through with respective teams to verify design & solution meet business and system requirements

Monitor, research, and resolve help tickets

Work in an Agile environment to create and work User Stories and Tasks from analysis through implementation ensuring needs are captured and delivered

Interact with business leaders and users, including external partners and customers as required. Maintain professional, service-oriented relationships

Determine severity of problems and the need to escalate to management

Demonstrate ability to organize and prioritize work

Lead and/or Participate in special projects and committees as assigned

Mentors and coaches for the development of others and actively pursues opportunities for enhanced knowledge on Facets and supporting applications.

Meet department and company performance and attendance expectations

Follow the Organizations published privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information

Ability to work in quickly and efficiently in an environment where priorities and tasks may shift

Identify and analyze user requirements, procedures, and problems to improve existing processes

Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation

Identify ways to enhance performance management and operational reports related to new business implementation processes

Develop and incorporate organizational best practices into business applications

Lead problem solving and coordination efforts between various business unit

Assist with formulating and updating departmental policies and procedures

Cross train to learn new configuration

Perform other duties as assigned

We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Skills and Requirements

5+ years of Facets configuration experience

Hands-on configuration experience within Claims module (claims processing, claims inquiries) within the last 6 months and experience with version 5.5.

Agile experience Working with individual insurance

EXCD experience

Network/Workflow

BPA experience

Knowledge of PDDs null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].