Job details
Job type full-time
Full job description
Our goals are to provide excellent service, utilize advanced technology, and proficiently deliver resultsTo accomplish these goals, we constantly seek individuals who look for ways to do things betterWe are a company whose culture cultivates teamwork, rewards excellence, focuses on quality for every aspect of our business, and promotes community involvement.
Tabula rasa healthcare (trhc) is a leader in providing patient-specific, data-driven technology and solutions that enable healthcare organizations to optimize performance to improve patient outcomes, reduce hospitalizations, lower healthcare costs, and manage riskMedication risk management is trhc’s lead offering, and its cloud-based software applications, including eirenerx® and medwise™, provide solutions for a range of payers, providers and other healthcare organizations.
Trhc empowers our employees to provide excellent service, utilize advanced technology, and proficiently deliver resultsOur 32fundamentals are what we are and who we areOur culture cultivates teamwork, rewards excellence, focuses on quality for every aspect of our business, and promotes community involvementAs a part of our team, you will help us bring innovative service models to healthcare, improving patient outcomes.
Peak tpa (peak), a tabula rasa healthcare company, helps pace organizations manage the business functions that drive the major sources of reimbursement revenue and utilization costsPeak provides services that optimize financial management and fulfill regulatory requirements for health plan functionsPeak is committed to the pace model of care and thus to the success of the sponsoring organizations.
Job description: configuration analyst
Summary: under the supervision of the assistant director of configuration and provider network services, this position is responsible for the configuration of the claims adjudication system.
Essential functions:
Performs system configuration analysis, testing, validation, quality review, documentation and maintenance of applications
Works directly with business units and other stakeholders to gather business requirements
Extensively tests fee schedule changes from software vendor
Supports and maintains application designs to meet client needs
Uses basic analytical and problem-solving skills, and an understanding of the business and systems, to resolve problems with production applications
Work with end users to identify needs and resolve problems.
Participates in review, impact assessment, testing and modifications for application updates, upgrades and installations
Additional functions:
Assists with special projects, as requested
Communicates clearly and concisely, with sensitivity to the needs of others
Maintains the confidentiality of all company procedures, results, and information about participants, clients, providers and employees
Maintains courteous, helpful and professional behavior on the job
Establishes and maintains effective working relationships with co-workers
Follows all policies and procedures and hipaa regulations
Maintains a safe working environment
Supervisory responsibility: none
Travel: no travel is anticipated for this position
Knowledge, skills and abilities:
High school diploma or equivalent required.
Requires a minimum of 5 years of experience with claims processing
Requires a minimum of 2 years of experience translating business requirements into detailed system specifications
Requires thorough knowledge of medical terminology, surgical procedures, cpt/hcpcs, and icd coding methodologies.
Requires strong ability to apply structure to loosely defined complex problems
Requires a demonstrated understanding of core business functions
Requires skillful configuration execution experience and knowledge
Requires excellent verbal and written communication skills
Requires strong organizational and analytical skills
Requires strong ms office skills, including excel
Ability to clearly articulate (both verbal and written) project status and issues management
Ability to work independently with minimal supervision
Ability to prioritize effectively
Ability to consistently multitask
Physical demands & requirements:
Communicates in person and by telephone or video conference with employees, applicants, vendors and others
Operates a computer and other office productivity machinery, such as a calculator, copy machine, fax machine and office printer
Remains stationary for extended periods of time
Occasionally exerts up to 20 pounds of force to lift, carry, push, pull or move objects
Visual acuity to perform activities such as identifying, inputting and analyzing data on a computer terminal and/or in hard copy
Occasional reaching to retrieve shelved items
Occasional bending/stooping
Work environment:
This position functions within a conversational noise level in an office, or home, environment.
***this is a remote positionAdequate internet speeds and a suitable home-office environment are required for this positionAll new team members will be bound by the “teleworking agreement’ and must continually meet the terms of the agreement to maintain remote work status.
#li-remote
Supervised by: assistant director of configuration and provider network services
The company is proud to be an equal opportunity employerAll qualified applicants will receive consideration without regard to ancestry or national origin, race or color, religion or creed, age, disability, aids/hiv, gender, marital or family status, pregnancy, childbirth or related medical conditions, genetic information, military service, protected caregiver obligations, sexual orientation, protected financial status or other classification protected by applicable law.
