Configuration Analyst- Benefits

The Configuration Analyst is responsible for designing, configuring, testing, implementation and maintenance of HealthRules Payor pricing, claims and / or benefit configuration, according to business requirements, to support accurate and efficient claims processing and data reporting to meet the needs of the Company. Investigate and resolve configuration-related provider, member and claim processing issues and assist other departments in understanding HealthRules Payor configuration. Lead and / or be part of complex HealthRules Payor Implementation and / or configuration projects. This position must possess strong analytical skills, with the ability to perform complex business rules set up in a fast-paced environment. The Configuration Analyst serves as a subject matter expert (SME) on customer projects that require configuration modifications within the claims processing system.

Responsibilities :

• Design, Develop, Configure and Test HealthRules Payor configuration, contracts, products, and policies to Implement HealthRules Payor.
• Analyze, configure, test, implement and maintain HealthRules Payor to support changes in contracts, products, legislation, policies, and procedures, ensuring timely maintenance and updates of configuration.
• Test, implement and train on new HealthRules Payor and third party product releases, modules and updates.
• Assist in the development of test scenarios for changes and / or projects. Manage the timely resolution of open testing bugs and issues. Develop and monitor postproduction audit reports to ensure the intent of change and / or project requirements is being met.
• Develop and maintain configuration documentation and communicate changes, as appropriate.
• Work with Business Users, Technical team and QA to create detailed functional requirements that support and align to business requirements and testing scenarios.
• Research and respond to service requests in a prompt and timely manner and update or build configuration in HealthRules Payor as needed.
• Recommend and draft new and updated procedures to maximize the use of HealthRules Payor and other third-party products to improve efficiency.
• Inform leader and peers of changes that will impact Company's Medicare business. Research and recommend methods to improve or implement necessary changes in a prompt and efficient manner.

Experience / Skills :

Preferred Skills :

Education :

Mandatory Skills : Medicare .

Experience : 3-5 Years .

Expected annual pay for this role ranges from $95,000 to $120,000 . Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.

Wipro is an end-to-end digital transformation partner with the boldest ambitions. To realize them, we need people inspired by reinvention. Of yourself, your career, and your skills. We want to see the constant evolution of our business and our industry. Join a business powered by purpose and a place that empowers you to design your own reinvention.

Applications from people with disabilities are explicitly welcome. Wipro is an equal opportunities employer.

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