[Hiring] Configuration Analyst I @MedImpact Healthcare Systems, Inc.

Role Description

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

• 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, and other internal business partners.
• 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.

Qualifications

• BS/BA and 1+ years’ experience or equivalent combination of education and experience.
• Intermediate knowledge of MS Office / Word, PowerPoint, Outlook, and MS Excel.
• The ability to run SQL queries and script load.
• Pharmacy Technician License or National Certification preferred.

Requirements

• 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.
• 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.
• 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.
• 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.

Benefits

• 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

Company Description

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.