Everest Consultants, Inc.

Title: Clinical Care Configuration Analyst (Remote work) Location: Any location within the US Duration: FTE / Permanent Salary is in the range between $72K and $89K Summary: Ideal candidate will perform analysis, design, and maintenance of Clinical Care Advance system and other assigned systems. They will serve as subject matter expert who identifies and resolves configuration issues, recommends improvements, and ensures high quality work. The position provides recommendations for vendor system enhancements, tests delivered enhancements and integrates them into ongoing configuration strategies. Required Skills, Experience & Education: Bachelor's degree in business or healthcare related field. Equivalent education and experience may be considered. Must have minimum 5 years of experience in a Systems Configuration, Claims, or Operations department within a healthcare organization. 2 to 5 years of experience working with clinical and care management systems such as the CareAdvance Enterprise Application. Working knowledge of enterprise systems such as Facets. Advanced knowledge of health plan configuration, including healthcare services, medical management, population health management, and industry care guidelines such as Milliman Care Guidelines. Knowledge of configuration change management methodologies, standards, and best practices. Experience with project management methodologies and the ability to manage projects and initiatives independently end to end. Ability to analyze processes, document workflows, perform gap analysis, and develop future state standardized workflows. Daily Responsibilities: Gather and document requirements, perform analysis, and develop configuration design to meet business needs. Manage complex system configuration and related documentation. Serve as a subject matter expert for configuration change management testing and best practices. Facilitate production controls and system configuration data codification. Monitor and review system edits and conduct advanced root cause analysis to identify issues and provide clear recommendations for resolution, including issues requiring multi-disciplinary technical skills. Identify and facilitate the implementation of process improvements and best practices. Interface and collaborate with peers and management throughout Healthcare Services and the organization to support configuration management best practices and system configuration life cycle management. Support project and program plans and tracking of configuration changes, operational issues, and resolutions. Represent the team on internal and external committees related to the system solution. Provide system-based recommendations regarding enhancement requests and the implementation of enhancement features. Lead and manage configuration project timelines to meet agreed upon deliverables. Coordinate the preparation and execution of test plans to validate that configuration updates and system fixes are complete and accurate and that enhancements function as designed.