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Solugenix Corporation Core Systems Configuration Specialist I in Los Angeles, California

Core Systems Configuration Specialist I

4-month contract

Los Angeles, CA

Job ID 2020-4886

Solugenix is assisting a client, a prestigious health insurance company, in their search for a Core Systems Configuration Specialist I. This is a 4-month contract opportunity based out of Los Angeles, CA. The Core Systems Configuration Specialist ensures the timely and appropriate configuration of the core systems by processing, validating, and maintaining provider network affiliations, contract affiliations, and updating data in master reference data tables.

Qualifications:

  • Bachelor's Degree in Business Administration or Healthcare Related Field.

  • At least 1-2 years of experience in a Systems Configuration, Claims, or another Operations department.

  • Claims experience with QNXT or equivalent processing system.

  • At least 1 year of experience working with a California Medi-Cal managed care plan or commercial health plan, medical group, or management services organization.

  • Basic knowledge of Microsoft Excel Good communication, analytical, organizational, and time-management skills.

  • Able to meet strict, tight deadlines with a high level of accuracy Able to prioritize multiple tasks.

Responsibilities:

  • This position ensures and validates the required and appropriate information that has been provided by business stakeholders and will collaborate, as needed, with them to obtain the necessary data to support the correct system updates.

  • This position works closely with other members of the department to help ensure the optimal configuration of the systems and applications, taking into consideration organizational requirements, related standards, and best practices for the configuration.

  • Load, maintain, and validates provider affiliation and contract data to ensure the accurate processing of claims.

  • Reviews and audits provider records and associated affiliations for quality and accuracy.

  • Ensures the accuracy of the data received and informs the requestor of document requirements to make system updates.

  • Performs data maintenance and updates of reference system tables validating data accuracy.

  • Identify issues, participates, and assists with the resolution and correction of simple to moderate configuration-related issues.

  • Participates and provides input in related cross-functional process improvement initiatives and activities.

  • Perform other duties as assigned.

About the Client

Our client is one of the world's leading health insurance company based out of Los Angeles, CA.

About Solugenix

For over 50 years, Solugenix has been a global technology development and services firm with locations in California, Arizona, India, and the Dominican Republic. As a pioneer in Professional Staffing and IT Consulting, we have partnered with some of the biggest global corporations across many industries. Our history was built on a foundation of partnerships with global brands like McDonald’s, Microsoft, CIT Group, Johnson & Johnson, Herbalife, Sony Pictures Entertainment, and many others who look to Solugenix to be their trusted partner in providing professional staffing, non-IT and IT solutions.

We live our core values in everything that we do, starting with “doing the right thing” for our employees/contractors and “committing to client success”. This is a big part of how we continue to make lists like “2019 Forbes Small Giants”. We also forge strategic partnerships with vendors and corp-to-corp candidates (C2C) that share our core values and encourage you to partner with us.

In addition to generating ground-breaking, industry-defining solutions for our clients and our own projects, we partner with clients with whom we share core values and a common professional culture to help them find talent for their valuable opportunities. At Solugenix, we invest in the personal development and growth of every individual. While this is a position with one of our esteemed clients, Solugenix will continue to invest in your personal growth and development, providing you with a successful career as well as ensuring client success.

External Company Name: Solugenix Corp

Street: 1055 W. 7th Street

Telecommute: No

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