Configuration Analyst I

Job description

Exemption Status:

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

Summary

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.

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, including but not limited to system constraints, conflicting benefit logic configurations and benefit coding table designs 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.

• Ensure 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.

• Use 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, meets customer requirements and that all appropriate forms and documentation are fully and accurately completed. 
• Utilize project planning and organizational skills to ensure timely deliverables, prioritizing high levels of quality and efficient use of resources to achieve claims adjudication accuracy.

Supervisory Responsibilities

No supervisory responsibilities                                    

Education and/or Experience

 BS/BA and 1+ years’ experience or equivalent combination of education and experience

Computer Skills

Intermediate knowledge of MS Office / Word, PowerPoint, Outlook and MS Excel. The ability to run SQL queries and script load.

Certificates, Licenses, Registrations

Pharmacy Technician License or National Certification preferred

Other Skills and Abilities

• Ability to gather business requirements and client specifications. Demonstrate ability to positively interact with clients, internal business partners, and peers. Demonstrate willingness to take accountability for achieving service commitments and a demonstrated ability to achieve results.

• 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.

Reasoning Ability

• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

• Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.  Ability to deal with problems involving a few concrete variables in standardized situations.

Mathematical Skills

• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Language Skills

• Ability to write reports, business correspondence, and procedure manuals. 

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• 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:

Composure

Decision Quality

Organizational Agility

Problem Solving

Customer Focus

Drive for Results

Peer Relations

Time Management

Dealing with Ambiguity

Learning on the Fly

Political Savvy

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 regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.

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.

This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).

Work Location

This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.

Working Hours

This is a full-time non-exempt position requiring one to be able to work overtime from time to time in order to get the job done.  Therefore, one must have the ability to work nights, weekends or on holidays as required.  This may be changed at any time to meet the needs of the business.  The typical working hours for this position are Monday through Friday from 8:00am to 5:00pm.

Travel

This position may require domestic travel.

The Perks:

• Medical / Dental / Vision / Wellness Programs

• Paid Time Off / Company Paid Holidays

• Incentive Compensation

• 401K with Company match

• Life and Disability Insurance

• Tuition Reimbursement

• Employee Referral Bonus

To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to www.medimpact.com/careers

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans

OSHA/ADA:

To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed 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.

Disclaimer:

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.