Provider Configuration Analyst
Welcome to the Latest Job Vacancies Site 2025 and at this time we would like to inform you of the Latest Job Vacancies from the NYC Health + Hospitals with the position of Provider Configuration Analyst which was opened this.
If this job matches your qualifications, please send your application directly through our latest Job site. Indeed, every job is not easy to apply because it must meet several qualifications and requirements that we must meet in accordance with the standard criteria of the Company who are looking for potential candidates to work. Good job information Provider Configuration Analyst below matches your qualifications.
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
The Provider Configuration Analyst will be responsible for the configuration of MetroPlusHealth's systems to ensure that claims are processed according to Provider contracts.
Job Description- Configure provider reimbursement and create and maintain fee schedules.
- Apply technical and business knowledge to analyze departmental requirements needed to develop long and short-term plans.
- Ensure system processes and services are aligned with the department's need.
- Analyze the system to ensure claims are processed correctly to prevent the company from liabilities.
- Collaborate with MetroPlusHealth's system consultants to correct errors, rectify omissions, and investigate questionable issues.
- Identify potential system problems for claims resolution.
- Analyze business processes, gather the requirements, and document the requirements in line with the strategic initiative.
- Review test cases making sure they are in accordance with requirements and assist the overall testing process.
- Conduct ongoing reviews of systems and processes to ensure accurate and optimum setup for both provider and claims.
- Attend meetings with managers regarding process plans, functionality, and business processes.
- Receive, coordinate, and manage requests for Systems Modifications.
- Maintain and track open issues and coordinate releasing testing.
- Document policies and procedures.
- Ability to run reports utilizing SQL
- Create and maintain an inventory of pricing templates and their contents.
- Monitor and Manage Core Systems performance.
- Respond to escalated issues from various MetroPlusHealth Departments.
- Perform and assist with any other functions as required by the Director of Core Systems Operations.
- Participate in special projects as needed.
- A Baccalaureate Degree from an accredited college or university; and
- Five 5) years of progressive, responsible experience in configuration for data processing, computer systems and applications; or
- A satisfactory equivalent combination of training, education, and experience.
Professional Competencies
- Integrity and Trust
- Customer Focus
- Functional/Technical Skills
- Written/Oral Communication
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How to Submit an Application:
After reading and knowing the criteria and minimum requirements for qualifications that have been explained from the Provider Configuration Analyst job info - NYC Health + Hospitals New York, NY above, thus jobseekers who feel they have not met the requirements including education, age, etc. and really feel interested in the latest job vacancies Provider Configuration Analyst job info - NYC Health + Hospitals New York, NY in 2025-04-29 above, should as soon as possible complete and compile a job application file such as a job application letter, CV or curriculum vitae, FC diploma and transcripts and other supplements as described above, in order to register and take part in the admission selection for new employees in the company referred to, sent via form this bottom.
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