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Configuration Analyst, Associate

Location
Oakland, California
Job Type
Permanent
Posted
4 Aug 2022
At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. Were excited to share Blue Shield of California has received awards and recognition for LGBT diversity, quality improvement, most influential women in corporate America, Bay Areas top companies in volunteering & giving, and one of the worlds most ethical companies. Here at Blue Shield of California, were striving to make a positive change across our industry and the communities we live in Join us!

Description:

Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that truly serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our comprehensive approach to diversity, equity, and inclusion combines a focus on our people, processes, and systems with a deep commitment to promoting social justice and health equity through our products, business practices, and presence as a corporate citizen.

Blue Shield has received awards and recognition for being a certified Great Place to Work, best place to work for LGBTQ equality, leading disability employer, one of the best companies for women to advance, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we are striving to make a positive change across our industry and the communities we live in - join us!

Your Role

The Provider Analytics Contract Configuration team configures negotiated pricing rates to automate system claims processing . The Configuration Analyst will report to the Configuration Manager . In this role, you will learn to read the negotiated contract and configure special pricing rates for all lines of business . Ensuring provider networks are correctly applied and linked to the pricing agreements.

Your Work

In this role, you will:
  • Analyze business level requirements to translate into various application configuration with guidance
  • Develop simple configuration approaches to support solution selection and develop documentation outlining the approach using appropriate documentation protocols
  • Be accountable for the basic or least complex configuration and testing of the assigned applications
  • Develop and execute test scripts to support the testing activities
  • Provide day-to-day configuration guidance to requirements gathering sessions, while gaining knowledge of functional/business operations
  • Learn all plans/lines of business and network requirements to ensure accurate pricing outcomes
  • Meet department metrics and expectations set for timeliness and quality outcomes

Qualifications:

Your Knowledge and Experience
  • Requires a bachelor's degree or equivalent experience
  • 0-2 years of prior relevant experience
  • Desired understanding of claims processing rules and standard billing requirements for UB-04 and CMS 1500 claims forms
  • Desired understanding for MediCal billing rules and guidelines

Our Values
  • Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short
  • Human. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes
  • Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals
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Details

  • Job Reference: 677708749-2
  • Date Posted: 4 August 2022
  • Recruiter: Blue Shield of California
  • Location: Oakland, California
  • Salary: On Application
  • Sector: I.T. & Communications
  • Job Type: Permanent