Functional overview
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.
 
Duties and responsibilities
Level I
 
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, system constrainsts, conflicting benefit logic configurations, benefit coding table designs, plan - group - pharmacy carrier to benefit linking, 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.
Ensures a 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.
Uses 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 and meets customer requirements and that all appropriate forms and documentation are fully and accurately completed.
Utilizes project planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve claims adjudication accuracy.
Minimum competencies
This is a position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to: Respond to requests for service and assistance from clients; Meet commitments to clients.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Reasoning Ability
Ability to interpret a variety of detailed and complex instructions furnished in written, verbal, diagrams, or work and data flows.
Mathematical Skills
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Language Skills
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
Business Knowledge - Demonstrates clear understanding of the nature of the business -- its products and services, goals, market, competitors and challenges.
Customer and Quality Focus - Actively demonstrates a personal concern for understanding client needs, ensuring the quality of products and services, maintains a high level of customer satisfaction, and contributes to continuous improvement of products and processes.
Responsiveness - Responds promptly, appropriately and effectively to requests, feedback and new developments, making sure that all relevant concerns and requirements are understood and addressed.
Problem Solving - Analyzes problems logically to identify root causes, seeks input from a wide range of sources, asks insightful questions and formulates effective solutions.
Communication - Expresses self clearly and effectively in face-to-face interactions, presentations and written documents, and employs active listening skills to ensure productive interactions.
Time Management - Plans effectively to meet target deadlines, foresees delays and responds proactively, sets realistic timetables, utilizes time efficiently, and completes projects on time.
Interpersonal Effectiveness - Demonstrates good people skills by showing a commitment to teamwork, resolving conflicts effectively and with respect for others' viewpoints, respecting differences and building strong relationships and networks.
Initiative - Proactively gathers and analyzes information, assesses situations and identifies challenges and opportunities, sees what needs to be done and takes appropriate action.
Adaptability - Adjusts quickly to evolving situations by integrating new information, remaining flexible, recognizing and implementing necessary changes and taking advantage of opportunities presented by new developments.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is frequently required to use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
 
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is in an office setting and is exposed to moderate noise (examples: business office with computers and printers, light traffic).
 
Minimum qualifications
Intermediate knowledge of MS Office / Word, PowerPoint, Outlook and MS Excel. The ability to run SQL queries and script load.
Ability to gather business requirements and client specifications. Demonstrated ability to positively interact with clients, internal customers, and peers. Demonstrated willingness to take accountability for achieving service commitments and a demonstrated ability to achieve results.
Demonstrates ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment.
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.
 
Duties and responsibilities
Level I
 
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, system constrainsts, conflicting benefit logic configurations, benefit coding table designs, plan - group - pharmacy carrier to benefit linking, 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.
Ensures a 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.
Uses 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 and meets customer requirements and that all appropriate forms and documentation are fully and accurately completed.
Utilizes project planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve claims adjudication accuracy.
Minimum competencies
This is a position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to: Respond to requests for service and assistance from clients; Meet commitments to clients.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Reasoning Ability
Ability to interpret a variety of detailed and complex instructions furnished in written, verbal, diagrams, or work and data flows.
Mathematical Skills
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Language Skills
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
Business Knowledge - Demonstrates clear understanding of the nature of the business -- its products and services, goals, market, competitors and challenges.
Customer and Quality Focus - Actively demonstrates a personal concern for understanding client needs, ensuring the quality of products and services, maintains a high level of customer satisfaction, and contributes to continuous improvement of products and processes.
Responsiveness - Responds promptly, appropriately and effectively to requests, feedback and new developments, making sure that all relevant concerns and requirements are understood and addressed.
Problem Solving - Analyzes problems logically to identify root causes, seeks input from a wide range of sources, asks insightful questions and formulates effective solutions.
Communication - Expresses self clearly and effectively in face-to-face interactions, presentations and written documents, and employs active listening skills to ensure productive interactions.
Time Management - Plans effectively to meet target deadlines, foresees delays and responds proactively, sets realistic timetables, utilizes time efficiently, and completes projects on time.
Interpersonal Effectiveness - Demonstrates good people skills by showing a commitment to teamwork, resolving conflicts effectively and with respect for others' viewpoints, respecting differences and building strong relationships and networks.
Initiative - Proactively gathers and analyzes information, assesses situations and identifies challenges and opportunities, sees what needs to be done and takes appropriate action.
Adaptability - Adjusts quickly to evolving situations by integrating new information, remaining flexible, recognizing and implementing necessary changes and taking advantage of opportunities presented by new developments.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is frequently required to use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
 
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is in an office setting and is exposed to moderate noise (examples: business office with computers and printers, light traffic).
 
Minimum qualifications
Intermediate knowledge of MS Office / Word, PowerPoint, Outlook and MS Excel. The ability to run SQL queries and script load.
Ability to gather business requirements and client specifications. Demonstrated ability to positively interact with clients, internal customers, and peers. Demonstrated willingness to take accountability for achieving service commitments and a demonstrated ability to achieve results.
Demonstrates ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment.
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KMC MAG Solutions Inc
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KMC MAG Solutions Inc jobs
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Position configuration Analyst i recruited by the company KMC MAG Solutions Inc at Cebu, Cebu, Joboko automatically collects the salary of , finds more jobs on Configuration Analyst I or KMC MAG Solutions Inc company in the links above
About the company
KMC MAG Solutions Inc jobs
Philippines