Configuration Systems Analyst III

CareSource

. Manage and define system configuration requirements .

Posted 10/13/2026full-timeRemote • United StatesMid-LevelSenior💰 $83,000 - $132,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in system configuration management, reimbursement design, and regulatory compliance within the healthcare sector. Proficient in data analysis, documentation, and effective communication to support operational efficiency and customer service.

Highest-signal resume keywords

Health Plan ExperienceConfiguration Software ExperienceFacets Knowledge/TrainingCertified Medical Coder (CPC)Reimbursement Methods Understanding

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

System Configuration ManagementData AnalysisMedical Coding KnowledgeClaims Processing SkillsDatabase Relationships UnderstandingReimbursement DesignRegulatory ComplianceTest Plan DevelopmentDocumentation SkillsChange Management

Soft Skills

Effective Problem SolvingAttention to DetailExcellent Communication SkillsInterpersonal SkillsCustomer Service Orientation

Tools & Technologies

Microsoft SuiteFacetsAnalysis ToolsChange Management SystemReporting Tools

Certifications & Qualifications

Certified Medical Coder (CPC)

Industry Keywords

HIPAA Transaction CodesMedicaidMedicareCPT CodesHCPCsICD-CM CodesDRGAPC

About the role

Key responsibilities & impact

Manage and define system configuration requirements
Handle requirements definition, documentation, design, testing, training and implementation support using appropriate templates or analysis tools
Develop and use reports to analyze and stratify data, address gaps and provide answers to departmental issues
Identify, manage and document open issues, configuration design and final resolutions in the change management system
Review and interpret regulatory items and deliver required updates on time
Develop standard code sets and reimbursement design templates
Plan and implement new software releases, including testing and training
Participate in meetings with business owners, users and IT to achieve solutions meeting requirements and expectations
Lead configuration initiatives in payment policy meetings and present to committees
Coordinate annual benefit changes with internal resources
Analyze system efficiencies and document effectiveness of existing systems; develop improvement and leveraging strategies
Manage reimbursement reviews and design appropriate changes
Lead development and execution of test plans and scenarios for reimbursement designs and related processes
Audit configuration for accuracy and internal controls to minimize fraud, abuse and overpayment issues
Anticipate customer needs and match products and services to fulfill those needs
Ensure system processes and documents exist as a basis for system logic
Manage resources and communications to facilitate work completion
Mentor use of tools to define requirements
Perform other duties as requested

Requirements

What you’ll need

High School Diploma or GED is required
Bachelor’s degree or equivalent years of relevant work experience is preferred
Minimum of five (5) years of health plan experience, including three (3) years of configuration or clinical editing software experience is required
Exposure to Facets or equivalent system is preferred
Exceptional computer skills and abilities in Facets
Advanced proficiency in Microsoft Suite, including Word, Excel, Access and Visio
Proven understanding of database relationships
Understanding of DRG and APC reimbursement methods
Understanding of CPT, HCPCs and ICD-CM Codes
Knowledge of HIPAA Transaction Codes
Effective listening and critical thinking skills
Effective problem solving skills with attention to detail
Excellent written and verbal communication skills
Ability to work independently and within a team environment
Strong interpersonal skills and high level of professionalism
Ability to develop, prioritize and accomplish goals
Understanding of the healthcare field and knowledge of Medicaid and Medicare
Proper medical coding knowledge and claims processing skills
Customer service orientation
Facets knowledge/training
Ability to manage vendor relationships
Certified Medical Coder (CPC) is preferred

Benefits

Comp & perks

Bonus tied to company and individual performance may be available
Substantial and comprehensive total rewards package
Employee total well-being support