Manual Facets Configuration Testing Lead

Job Summary :

The Team Lead, Configuration Testing is responsible for day-to-day activities surrounding the knowledge and insight around testing of medical benefits, provider reimbursement, letters, claims workflow and clinical editing.

Essential Functions :

• Responsible for day-to-day activities surrounding the knowledge and insight around testing of medical benefits, provider reimbursement, letters, claims workflow and clinical editing
• Guide and direct successful completion of daily tasks. Responsible for onboarding, training and development of staff
• Prioritize all work, requests and activities. Escalate any area of significant resource contention along with recommendation for resolution
• Track issues and status to ensure proper follow-up, coordination with business area and provide solutions
• Update project that configuration is involved with and coordinate any needed changes with manager
• Provide management with ticket dashboards. Identify root cause of issues and appropriate pro-active resolution to reduce tickets in the future
• Ensure ticket controls, communication and approvals are followed prior to system implementation
• Maintain and support fee schedules and methodology is consistent with required standards
• Provide oversight to vendor management tasks conducted by team members. Ensure timely responses and resolution
• Assist in auditing system configuration to ensure accuracy and internal controls are in place to minimize potential fraud and abuse and any business issues
• Perform any other job duties as requested

Education and Experience :

Competencies, Knowledge and Skills :

Licensure and Certification :

Working Conditions :

Compensation Range :

$81,400.00 - $130,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type : Salary

Competencies :

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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