Configuration Specialist

Emploi pas sur LinkedIn

🕒 il y a 17 jours

🇺🇸 États-Unis – Télétravail

💵 $70 000 - $95 000 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🚫👨‍🎓 Aucun diplôme requis

👻 Score fantôme 1%

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of RAM Technologies

RAM Technologies

1 - 10 employés

Fondée en 1996

🏥 Santé

💼 Conseil

📦 Logistique

Healthcare • Consulting • Logistics

RAM Technologies est un fabricant américain spécialisé dans les alimentations électriques médicales et industrielles de haute fiabilité ainsi que les accessoires associés. Depuis 1996, l'entreprise conçoit et produit des alimentations PC certifiées pour les dispositifs médicaux et autres applications industrielles, mettant l'accent sur une réalisation rapide de prototypes, des câbles de sortie personnalisables et la conformité à des normes telles que EN 60601-1. RAM Technologies propose des produits de longue durée, garantis et fabriqués aux États-Unis, ciblant les fabricants d'équipements d'origine (OEM) et les concepteurs d'électronique médicale et industrielle.

Description

• Review and translate business requirements into configurable components • Design solutions that drive highly automated and accurate outcomes • Develop, maintain, and execute configurations for benefits, pricing, member products/plans, premium billing, letters, business rules, and workflows • Coordinate with third-party industry software to ensure rules function appropriately • Work with testers, operations, and clients to ensure results match requirements • Continuously validate the configuration environment and synchronize it with current releases • Coordinate environment updates as needed • Document configuration changes • Support troubleshooting of issues • Track completion and deployment of changes within expected timelines • Safeguard PHI and PII in accordance with company policies and HIPAA regulations

🎯 Exigences

• 2–6 years of healthcare industry experience in the payer segment, including Medicare Advantage or Managed Medicaid, or with other healthcare service providers • Experience setting up and maintaining healthcare payor system configurations is required • Knowledge of Medicare rules and ability to translate them into business outcomes • Strong SQL experience • Proficiency with MS Excel and MS Access • Exceptional interpersonal, listening, written, and oral communication abilities • Strong attention to detail • Ability to work under time constraints • Experience with commercial lines of business is a plus • Experience with Healthcare EDI files is a plus • Knowledge of Medicaid rules is a plus • A bachelor's degree or equivalent is preferred • Compliance with company security, privacy, HIPAA, HITECH, and applicable federal and state regulations • Ability to securely access, process, store, and transmit PHI and PII

🏖️ Avantages

• Medical insurance • Dental insurance • Vision insurance • 401(k) with match • Life insurance • LTD • 5 weeks vacation • Paid holidays

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