Configuration Specialist

Job not on LinkedIn

🔥 4 hours ago

🇺🇸 United States – Remote

💵 $70k - $95k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

Apply Now
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Logo of RAM Technologies

RAM Technologies

1 - 10 employees

Founded 1996

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

RAM Technologies is a U. S. -based manufacturer of high-reliability medical and industrial power supplies and related accessories. Since 1996 the company has designed and produced certified PC power supplies for medical devices and other industrial applications, emphasizing quick turnaround for prototypes, customizable output cables, and compliance with standards such as EN 60601-1. RAM Technologies offers long-life, warranty-backed products made in the USA, targeting OEMs and designers of medical and industrial electronics.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

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

Apply Now

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