MSO System Configuration Analyst I
North East Medical ServicesCalifornia, United States
Posted June 12, 2024
39.69 - 45.1 USD hour
Full Time
About the Company
North East Medical Services (NEMS) is a leading nonprofit community health center headquartered in San Francisco that serves more than 70,000 patients annually across the Bay Area. With a workforce of over 700 clinicians and support staff, NEMS delivers a full spectrum of primary, specialty, dental, optometry, pharmacy, laboratory, radiology, behavioral health, and complementary care—including acupuncture and chiropractic—tailored to the needs of medically underserved Asian communities. The organization distinguishes itself through multilingual, culturally competent care in Cantonese, Mandarin, Vietnamese, Burmese, Korean, and other languages, ensuring equitable access for uninsured and low-income patients. NEMS’s network of clinics in key neighborhoods such as Chinatown, Portola, and Daly City reinforces its commitment to community-based, patient-centered health equity.
Job Description
The MSO System Configuration Analyst is responsible for major managed care systems configurations, including EZ-CAP, EZ-CARE, EZ-EDI, EZ-Net, health plan implementations and conversions within the System Configuration team.
Requirements
- Completion of a 4-years degree from an accredited University in System Analysis, Computer Programming or other relevant area of study.
- Three (3) years technology and business analysis experience in Managed Health Care industry with working knowledge of how Benefits, Rates, Fee Schedules, and Provider Contracts impact the payment and processing of claims;
- Working knowledge of State/Federal healthcare compliance requirements (HIPAA, AB1455, HL7, X12, and ICE standards), particularly DHCS/Medi-Cal guidelines;
- Working knowledge of healthcare standard code sets, benefits, DOFR, RBRVS, and fee schedules;
- Must have strong analytical and problem-solving skills across a wide variety of configuration and technical issues.
- Demonstrated ability to use Microsoft Access, Excel, Crystal Reports, Report Builder and SQL Server Reporting Services.
- Ability to self-manage in a detail-oriented environment.
- Good organization and prioritization skills, outstanding in time management.
- Ability to reliably and consistently deliver quality work product on target dates.
- Strong written and verbal communication skills to allow for effective communication at any level.
Benefits
- Free medical, dental and vision insurance for employee, spouse and/or children
- Company contribution to 401(k)
