Configuration Analyst, Associate

Your Role
The QC Pricing Analytics and Contract Configuration team is responsible for performing an in-line audit for all negotiated provider contacts. The QC Configuration Analyst, Associate will report to the QC Pricing Analytics Contract Configuration Manager. In this role, you will conduct audits and run test claims to ensure future claims will be paid correctly based on the contractual terms, validate that the negotiated provider contracts were built correctly and according to the contract's specification, and support process improvements by identifying possible gaps and addressing remediation.
Your Work
In this role, you will:
* Analyze contract language to translate into specific pricing configuration with guidance
* Develop simple configuration approaches to support solution selection and develop documentation outlining the approach using appropriate documentation protocols
* Be accountable for the at least one contract type of configuration and testing of the assigned contracts
* Develop and execute claims tests to support the testing terms and services for in the negotiated contracts
* Provide configuration feedback through the audit process
* Analyze the provider contracts to ensure accuracy in the way it was built
* Identify and document audit observations and findings
* Service (internal customers) with an oriented/philosophy and work in a diverse, demanding and evolving environment where strong analytical, problem-solving skills, time management and organizational skills are required
* Perform other duties as assigned