Remote Senior Pricing Configuration Analyst- Consulting

Job Description

Job Description

Remote, consulting, pricing configuration analyst opportunity

Our client is looking to add a Senior Pricing Configuration Analyst to join their team for a 3-month long contracting position.

This is a fully remote position, starting in early January. I provided the position description below.

Position Description : Anticipated Start Date 1 / 08 / 2024- 4 / 8 / 2024 or Longer. CST Hours are Preferred

The Senior Configuration Analyst :

• Obtains and analyzes the internal workflow, setup and design of the software applications.
• Consults with users to identify current operating procedures and to clarify program objectives, creates documentation to describe program development, benefit logic, medical coding, work instructions and corrections.
• Develops a deep understanding of the system capabilities and evaluate requirements to determine configuration design to assure company objectives are met.
• Provide analysis and documentation that supports configuration management, design, requirements traceability, and audits controls needed to meet state and federal regulatory requirements
• The client is adding new PBMs in 2024. As such, will setup pharmacy benefits, networks, and pricing for Employers, ACA, Med Supp, Med Adv (starting in 2024)
• Set up new products.
• Testing and documentation of new product configuration
• Raise potential issues
• Client will upgrade Health Rules Payor in early 2024 and is facing 9 new releases to upgrade.

Position Requirements

• Healthcare insurance experience (PBMs, Medicare Advantage regulations)
• Ability to troubleshoot and problem solve
• Minimum of 5 years’ configuration experience (pricing experience preferred)
• 2+ years’ experience in HealthRules configuration
• Must have experience with Pricing module in HRP
• HRP upgrade experience preferred, not required

Does this sound like a good fit for you or someone you know? Let’s carve out a time to discuss these opportunities more thoroughly.

You can reach me at 312-884-0453 or by email, whichever is more convenient

Company Description

The Jacobson Group is the leading provider of insurance talent. For more than 50 years, we have been connecting insurance organizations with professionals from the board room to the back room on both a permanent and temporary basis.

We offer a variety of solutions including executive search, professional recruiting, temporary staffing, subject matter experts, and onsite and work-at-home operations support.

Regardless of the need or situation, Jacobson is the insurance talent solution.

Company Description

The Jacobson Group is the leading provider of insurance talent. For more than 50 years, we have been connecting insurance organizations with professionals from the board room to the back room on both a permanent and temporary basis.

We offer a variety of solutions including executive search, professional recruiting, temporary staffing, subject matter experts, and onsite and work-at-home operations support.

Regardless of the need or situation, Jacobson is the insurance talent solution.