System Configuration Analyst II

This position is responsible for providing system configuration for the organization’s managed care payment system (QNXT) and other core vendor developed systems at an intermediate level. Ensures system configuration consistency across all core applications, including technical scoping, configuration, testing, and implementation. Participates in the vendor management discipline, supporting long term vendor performance and strategy. Other core responsibilities include IS team and user collaboration, analysis, and documentation.

Estimated Hiring Range: $72,765.00 - $88,935.00

Bonus Target: Bonus - SIP Target, 5% Annual

Current Care Oregon Employees:
Please use the internal Workday site to submit an application for this job.

• Configure and perform daily software maintenance with some management oversight to support the efficient administration and data integrity of multiple systems:
  • QNXT, including claims, utilization management, benefits, contracts, member, call tracking, fees and code modules
  • Optum Claims Edit System
  • Care Oregon Connect provider and member web portal
• Participate in objective decision making to maintain data integrity, alignment and usability of applications for multiple departments across the organization in line with organizational objectives.
• Grow in identifying and articulating how the impact a configuration change has on upstream and downstream services and business workflows.
• Assist IS leadership in IS governance, demonstrating progress learning how to evaluate and monitor applications to ensure they align with and sustain the objectives of the organization.
• Participate in frontend and backend process testing and implementation of new software and software upgrades that supports the organization’s strategic goals.
• Perform advanced quality assurance testing to validate configuration behavior against established baselines, in keeping with contract, regulations, and customer requirements.
• Develop and maintain appropriate configuration documentation related to configuration and processes; participate in developing policies and procedures.
• Collaborate with business teams to build accurate system process and training documentation for consistency with system configuration and workflows.

• Collaborate with a variety of stakeholders with guidance from senior System Configuration Analysts or team manager.
• Serve as the point of escalation following the service desk for users experiencing software functionality issues.
• Assist operational departments with system functionality questions for current, new or emerging work.
• Assist users in submitting comprehensive development and Change Control Board requests.
• Assist software developers, production support, engineers and technicians with a variety of user, process and system needs, such as interpreting requirements for technical solutions and verifying deployed solutions meet the business need.
• Support internal and external auditors to provide system configuration information.
• Participate fully and constructively in department meetings, department decisions and department growth.
• Participate as an advance resource in interdepartmental work groups, such as the Change Control Board, cost and utilization committees, and payment integrity program.
• Maintain impartiality and upholds the objectives of the organization.
• Participate in software user groups, attend conferences to further education and establish relationships with peer organizations.

• Conduct advanced research of software system enhancements and functionality.
• Participate in assessing impact of system changes on the organization and interfacing systems.
• Recommend software configuration that aligns with existing or new business requirements as identified by IS or operations teams.
• Review and interpret provider contracts for accuracy and assess ability to administer.
• Research and interpret CMS, OHA and federal and state regulations with manager guidance.
• Retain knowledge and remain abreast of relevant State and Federal laws and regulations relating to the medical health insurance industry and the Medicare and Medicaid industry.
• Consult with operational departments…