Our client requirement

Dear Partner,   

    

Below is our client requirement open with us, please take a look and submit your best fit candidates.   

 

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

 

Job Title:- Quality Configuration Analyst (II) 

Location :-Los Angeles, CA OR REMOTE 

Start: Apr 5, 2021 | Duration: 13 Weeks 

Rate: $40 hourly C2C 

 

Job Summary:- 

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 Care Advance (CCA), Process Communication Tracking (PCT), Claims Test Pro)  

 

Essential Duties and 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 improvements 

• Facilitate 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 or Healthcare related field   

• Preferred: Master's Degree in Business or Healthcare related field   

• Equivalent:  In lieu of degree, equivalent education and/or experience may be considered.   

 

Experience Required: 

• At least 5 years of experience in a Systems Configuration, Claims or another 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.  

• 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.  

Thanks & Regards.   

Naveen Kumar Arya,
Bench Sales & Recruiting Manager, 

P. 904-204-1353 

narya@intuceo.com | www.intuceo.com 

4110 Southpoint Blvd. Suite 124 Jacksonville, FL 32216