Description
* Audits of general system functionalities to identify any potential bugs or issues needing to be addressed by the technical team.
* Daily/weekly reviews of reports or system-generated documents (i.e., purchase orders) to identify issues, causes for concern, bugs or items requiring immediate attention.
* Review of patient and provider data across clients to identify anomalies requiring attention.
* Report technical issue findings to the IT team and monitor, validate fixes.
* Audit of claims and processing results to identify potential system issues or sudden drops in performance that impact clients and partners. Notify impacted parties upon identification of issues and post resolution.
* Establish general audit guidelines and standard measurements.
* Provide feedback to management on results of findings and rates of error.
* Synchronize with technical teams for UAT and new feature/enhancement releases.
* Notify and train teams impacted by new system changes.
* Assist with training opportunities where needed.
* Assist implementation specialists as needed with completing documents and configurations for client builds.
* Implement split billing clients, including but not limited to assisting in the build of the crosswalk, split billing configurations, and conducting all training for covered entities for the split billing product prior to transition to the account manager.
* Provide support post go-live for 6‑8 weeks to ensure appropriate training for our clients.
* Develop project plans, scope documents and manage timelines following an approach such that project deliverables are thoroughly communicated to the client and deadlines are met.
* Act as the main point of contact to the client's project team to configure new and existing client accounts with integration partners.
* Assist the client and their vendor partners in setting up system interfaces.
* Provide support for integration-related questions from clients, integration partners and internal stakeholders.
* Manipulate client data to conform to the provided file specifications & perform analysis prior to ingesting to ensure the data is complete & accurate.
* Communicate technical issues to non‑technical audiences clearly, concisely, and accurately both verbally and in writing.
* Monitor and provide front‑line support for interfaces post go‑live; coordinate with clients & integration partners to ensure identified issues are resolved in a timely manner.
* Utilize effective problem‑solving techniques to develop quality services and resolve problems, while managing multiple work efforts in a fast‑paced environment.
* Be responsible for coordinating with the Ops‑IT team for backend configurations and testing of integration outcomes.
Documentation and Communication
* Be the subject matter expert for client integration management and develop detailed integration‑related standard operating procedures, internal/external FAQ’s and training guides.
* Maintain a high level of communication with all levels of client interaction to ensure proactive, solution‑oriented problem identification and resolution.
* Assist in the transition of clients to Account Management once go‑live is achieved; provide training/knowledge transfer to clients & internal stakeholders for technical and non‑technical audiences.
Vendor Relationship Management
* Assist in onboarding new client integration partners.
Requirements
3‑5 years of 340B experience to include project management, implementations and split billing knowledge.
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