Top 1121 Configuration Manager Jobs

Healthcare Configuration and Data Integrity Manager
Provider Network Solutions LLC —Miami, FL
- $60,000 - $70,000 a year
- Full-time
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
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Advantage Technical —Sterling Heights, MI
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LIMS Configuration Specialist
Experis —Los Angeles, CA
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: Senior Manager, HCM Configuration and Release Management
INSPYR Solutions —Miramar, FL
- $50 - $65 an hour
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- Computer Science
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Revolution Space —Remote
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Manager, Solutions Configuration
Cohere Health —Boston, MA
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HealthEdge —Remote
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CPMC LLC —Remote
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Manager of Plan Build and Benefits Configuration
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Change and Configuration Data Manager – In-Space Systems
Blue Origin —Seattle, WA
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Manager, Configuration
Versant Health —Troy, NY
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Luxoft —Remote
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WILLCOR Inc —Annapolis Junction, MD
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ALSTOM —Pittsburgh, PA
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Configuration Management Specialist - Senior
Nationwide IT Services —Remote
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- Full-time
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13d
Configuration Management, Manager
Electra Aero —Manassas, VA
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- Full-time
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Junior IT Configuration Analyst
Marathon TS —Remote
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7d

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Healthcare Configuration and Data Integrity Manager

Provider Network Solutions LLC -
Miami, FL

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Job Details

Full-time
$60,000 - $70,000 a year
14 days ago

Qualifications

Computer operation
Microsoft Excel
Microsoft Access
Microsoft Outlook
Medical claims processing
Customer service
Desktop applications
Medical terminology
Master data management

Full Job Description

Description:

Position Summary

The Configuration and Data Integrity Manager is responsible for implementing and interpreting the organization's overall claims, provider configuration, eligibility and provider database management, security, and operations. The Configuration Manager will work with internal departments and external organizations to assure secure data exchanges, integrity, reliability, and availability; plans, organizes and coordinates activities related to the analysis and implementation of network database systems; provides technical guidance and database compliance audits; and consults with business users regarding the use and management of data.

Duties and Responsibilities

Responsible for benefit configuration covered services, copay, deductibles, coinsurance and max out of pocket in TPA system. Ensure mapping and testing behind the scenes and maintain Matrix of Benefit Packages

Responsible for provider records configuration and contract rate load create vendors, practice locations, medical group, networks, reimbursement rate. Collaborate with Provider Relations Department and Credentialing to ensure Responsible for work distribution and resource management of configuration specialist and data integrity specialist.

Configuration support to provider contracts-question if specific agreement received can be entered as noted.
Conduct unit testing to ensure design meets specifications as it relates to product upgrades or new releases.
Responsible for accurately interpreting specific contracts as well as additional business requirements and converting these terms to configuration parameters.
Quality control of all information uploaded in TPA system, i.e., Provider data, fee schedules, network assignment, team member’s responsibilities.
Collaborate with provider call center, clinical and claims department when asked to verify specific provider configuration or benefit configuration information.
Provide system configuration support to organization based on changing business needs.
Review and recommend changes to existing configuration processes.
Analyze and resolve Claims Workflow regarding Benefit & Contract configuration issues in a in with 3 business days.
Provide technical guidance to Data Integrity Specialist in their assigned job duties.
Oversee Configure Medicare/Medicaid/Commercial interest rates in TPA system.
Resolve Eligibility Issues with Health Plans.
Validate reports ran by Data Integrity Specialist on a weekly, monthly, and quarterly basis.
Load and Maintain Fee Schedule in TPA System
Act as liaison between Corporate and the health plan regarding programming development needs related to reporting.

Requirements:

Knowledge

3-5 years of Claims Processing experience required.
1-2 years’ experience in healthcare data management.
Broad knowledge of medical terminology, customer service, claims processing and/or customary and reasonable cost containment, and coordination of benefits and diagnosis coding.

Skills

Advanced knowledge of Microsoft applications: Outlook, access database, excel, word and basic computer navigation.

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