Top 10 Configuration manager Jobs in Miami, Fl

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
Quick Apply
5d
Software Configuration Manager
MANTECH —Doral, FL
- Full-time
- Computer Science
- Mid-level
- Office
7d
MIP & Parts Configuration Analyst
Amerijet International —Miami, FL
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Engineering
Quick Apply
MIP & Parts Configuration Analyst
Amerijet —Miami, FL
- From $70,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Engineering
Quick Apply
Network Implementation Engineer
Pico —Miami, FL
- $150,000 - $180,000 a year
- Online Application
- System design
- Office
- Travel
Quick Apply

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configuration manager jobs near miami, fl

Healthcare Configuration and Data Integrity Manager

Provider Network Solutions LLC -
Miami, FL

Quick Apply

Job Details

Full-time
$60,000 - $70,000 a year
5 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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configuration manager jobs in miami, fl

Healthcare Configuration and Data Integrity Manager

Software Configuration Manager

MIP & Parts Configuration Analyst

MIP & Parts Configuration Analyst

Network Implementation Engineer

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