Configuration Analyst Int Resume Example

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Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000,
Professional Summary

Enthusiastic Config Analyst eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of QNXT and Provider affliations. Motivated to learn, grow and excel in the configuration dept.

  • Multitasking abilities
  • Customer service
  • Good listening skills
  • Troubleshooting
  • Responsible
  • Teambuilding
Work History
08/2011 to Current Configuration Analyst Int. Renown Health | Sparks, NV,
  • Improved QNXT system by testing new upgrades.
  • Documented procedures and business processes and shared information with appropriate stakeholders.
  • Evaluated and adopted new technologies to address changing industry needs.
  • Evaluating information processing and performance to assist with provider set up and inefficiencies.
  • Applied knowledge of data modeling and statistical analysis to note trends and draw conclusions.
  • Collaborated closely with upper management to drive strategy through development and implementation of new processes.
  • Resolved malfunctions with system set up and provider set up through troubleshooting.
  • Mapped processes to holistically examine business flow and identify improvement opportunities.
  • Guided various aspects of acquisition process, including due diligence, contracting and valuation.
  • Delivered in-depth QNXT training, imparting knowledge of best practices for protecting data and minimizing errors.
  • Apply daily knowledge of provider affiliations, service locations, and payto's.
  • Assist with member moves, member tool, in regards to member capacity for PCP's.
  • Fee schedules.
  • Contract setup (LoA's, finalized contracts custom fees)
  • Set up MH benefits
  • Delegated providers
  • Authorization issues for member PCP changes and updates.
  • Test Plan set up and testing.
  • OHC carrier codes and set up. (exception reports)
  • Medi_Medi set in 2014
  • Provider 101 set up
  • Capitation set up and changes
  • Set up for HMS
  • Retro contract tool
  • Benefits/Terms/restrictions
  • Set up and tested capitation scheduling.
  • Check write/ SQL/ variances
  • OSHPD provider set up
  • Attributes and plan affiliaton info tab.
  • DRE codes
  • Member LOA testing and setup.
04/2010 to 05/2012 Configuration SME Metasource | Bristol, PA,
  • Designed and prepared technical reports, studies and related documentation.
  • Led corporate-wide initiatives to help guide enterprise and business level goals.
  • Collaborated with senior management and business line management to identify and prioritize new concepts for development and launch.
  • Conducted data system studies to prepare documentation and specifications for proposals.
  • Performed network administration duties by creating network user accounts, permissions, resetting passwords and administering group policies.
  • Configured and monitored local and area networks for TPA and Medi-Cal Lines of business.
  • Constructed, edited and tested computer system programs, including Benefits, call logs, call codes, call types, resolutions, security, provider affiliations/Set up. and county employee programs.
  • Performed ad hoc deep-dive analyses for specific business problems.
09/2010 to 10/2011 Customer Service Lead Health Plan Of San Joaquin | City, STATE,
  • Generated reports detailing metrics such as call times and satisfaction ratings.
  • Enhanced productivity by staying on top of call scripts and maintaining control over direction of conversations.
  • Handled advanced issues with calm, knowledgeable and professional approach.
  • Responded to team support questions quickly to maintain call center efficiency.
  • Motivated employees to increase productivity and maximize service quality with hands-on leadership style.
04/2001 to 06/2010 Call Center Representative Health Plan Of San Joaquin | City, STATE,
  • Enhanced productivity by staying on top of call scripts and maintaining control over direction of conversations.
  • Maintained accurate and current customer account data with manual forms processing and digital information updates.
  • Described and explained details about Eligibility and benefit options to inform customers.
  • Conferred with customers about concerns with beneftis or services to resolve problems and drive customer satisfaction.
  • Introduced clients to available online resources and services to increase convenience.
  • Called existing and prospective members to evaluate desires and offer assistance.
  • Helped average of 80 customers every day by approaching conversations with positive attitude and focus on customer satisfaction.
  • Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service.
  • Cross-trained and provided back up for customer service managers.
  • Provided accurate information about benefits, customer programs and products, helping drive high customer retention.
Expected in | Medical Assisting Weber School Institute, Stockton , GPA:
Expected in | General San Joaquin Delta College, Stockton , Ca, GPA:
Expected in 06/1985 High School Diploma | Thomas Edison High School , Stockton , GPA:

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Resume Overview

School Attended
  • Weber School Institute
  • San Joaquin Delta College
  • Thomas Edison High School
Job Titles Held:
  • Configuration Analyst Int.
  • Configuration SME
  • Customer Service Lead
  • Call Center Representative
  • High School Diploma

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