567 IT & Software Developer jobs in the US
Analyst II - Product System Configuration
$80,000 - 120,000
Inland Empire Health Plan
6th Street 10801
$80,000 - 120,000
Requirements
Must:
- Four years of experience with the development and remediation of moderately complex system configurations, including capitated provider agreement configurations.
- Bachelor's degree from an accredited institution is required. In lieu of the required degree, a minimum of four years of additional relevant work experience is necessary for this position.
- Two years of general healthcare experience and two years of configuration experience are required.
- Knowledge of Medicare and Medi-Cal fee schedules and benefit structure, as well as regulatory billing guidelines, is required.
- Preferred knowledge includes CMS, DHCS, DMHC, and NCQA rules and regulations.
- Extensive knowledge of CPT, HCPCS, Revenue, and ICD10 coding rules and guidelines is preferred.
- Comprehensive understanding of general managed care operations is required; familiarity with a delegated plan model is preferred.
- Basic knowledge of relational database structure.
- Advanced knowledge of Product System algorithms and processes is preferred.
- Familiarity with basic medical product processing is preferred.
Responsibilities
- I assist with the development of configuration standards and best practice guides to maintain efficiency, accuracy, automation, and successful integration with internal and external systems and programs.
- I analyze and translate business specifications into detailed technical specifications based on system functionality and develop non-systematic workaround processes when necessary.
- I perform product system error root cause analysis.
- I track incoming requests and issue resolution through Microsoft Access, MediTrac, and Workfront tools.
- I identify and communicate the impact of system enhancements or configuration changes on integrated systems and processes.
- I monitor the daily System Configuration inventory and ensure compliance with established service level agreements and regulatory timelines.
- I configure and maintain complex product-related system builds with multi-tiered functionality and interrelated system dependencies, including Contracts, Benefits, Fee Schedules, and Service Categories.
- I assist the Contracting team with drafting appropriate contract fee schedule language in line with system adjudication capabilities and coding standards.
- I develop and maintain business requirements for the automation of coding updates.
- I track, test, and approve new system functionality, enhancements, and bug fixes, including the development and execution of test plans and scripts.
- I perform weekly and bi-weekly audits of check run products to proactively identify potential system configuration issues before products are released.
- I undertake other duties as assigned, including participation in Department Projects and LEAN/A3 Events.
Description
At IEHP, we find joy in serving others, and we welcome you to join us in βhealing and inspiring the human spirit.β We aim to transform a job opportunity into an authentic experience. As part of our team, we are committed to incorporating our Quality Program goals, including HEDIS, CAHPS, and NCQA Accreditation. We are not only dedicated to the wellbeing of our Members; we also strive to provide our Team Members with prime benefits and more. Our offerings include CalPERS retirement, a 457(b) option with a contribution match, generous paid time off (vacation, holidays, and sick days), an on-site state-of-the-art fitness center, medical insurance with dental and vision coverage, paid life insurance with additional options, short-term and long-term disability options, pet care insurance, flexible spending accounts for health care and childcare, wellness programs promoting a healthy work-life balance, career advancement opportunities, professional development, a competitive salary with an annual merit increase, and team bonus opportunities.
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You can find System Engineer salaries in the United States here.
How many System Engineer jobs are in the United States?
Currently, there are 567 System openings. Check also: Linux jobs, Windows jobs, Network jobs - all with salary brackets.
Is the US a good place for System Engineers?
The US is one of the best countries to work as a System Engineer. It has a vibrant startup community, growing tech hubs and, most important: lots of interesting jobs for people who work in tech.
Which companies are hiring for System Engineer jobs in the United States?
Murmuration, MONEXgroup, Giesecke+Devrient, Dyrand, Confidential Posting, Diversified Technology Corp, Morgan Lewis among others, are currently hiring for System roles in the United States.
The company with most openings is Leidos as they are hiring for 92 different System Engineer jobs in the United States. They are probably quite committed to find good System Engineers.
The company with most openings is Leidos as they are hiring for 92 different System Engineer jobs in the United States. They are probably quite committed to find good System Engineers.