Kforce IT Configuration Manager in Springfield, Massachusetts

Kforce has a client in search of an IT Configuration Manager in Springfield, Massachusetts (MA).Job Summary:The ideal candidate will direct and oversee the set up and configuration of Amisys for the organization. This individual is responsible for identifying, developing, implementing and supporting all Departments that use Amisys and configuring Amisys to direct the way in which the system evaluates, processes and reports information. This includes, but is not limited to Authorization, Benefit Management, Billing & Accounts Receivable, Capitation, Claims Processing, Liability Recovery, Medical Management, Membership Processing, Pricing Management, Provider, Reference & Controls and System Parameters.Key Functions:

  • Determine appropriate standards and configurations for Amisys and ensure each is appropriately maintained and supported

  • Manage the Provider Enrollment Function which is responsible for maintaining the Provider Database

  • Manage the AWD Function which is responsible for the supporting automated workflows for the client

Develop, manage and design the configuration of Amisys to support all Departments as outlined below:

  • Reference and Controls; This includes Code sets, Procedure codes, diagnosis codes, DRGs, counters, super-tables, and Amisys configuration tables that are used in provider, membership, benefits, pricing, medical management, claims and finance

  • Benefits, which includes benefits, components, riders, benefit packages and key words

  • ASO Employer groups, which includes benefit design, main default tables, alt provider records, specialty capitation and medical management

  • Pricing, which includes provider pay classes, counters and fee schedules per various client provider agreements

  • Medical Management, which includes authorization requirements for the various plan designs

  • Finance, which includes Employer Group Billing, Claims Payable, Capitation Payable and Accounts Payable

  • Bachelor's degree in Computer Science or related field with more than 7 years of configuration management experience or an equivalent combination of education and experience

  • Experience with Amisys system configuration preferred

  • Experience with healthcare insurance, healthcare provider or healthcare vendor organization is required

  • Experience with MS Windows and MS Office required

  • Specialized knowledge or skills in claims processing and system configuration

  • Demonstrated leadership skills and qualities

  • Ability to manage multiple complex projects and tasks

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.Compensation Type:YearsMinimum Compensation:105000.00Maximum Compensation:170000.00