Analyzes client requests for proposals and applies advanced subject matter knowledge to solve complex business issues Adheres to and supports Configuration team approach and other configuration principles, methodologies, and practices Works closely with the implementation team to analyze and document client's business requirements and processes. Communicates these requirements by constructing configuration deliverables Research and define solutions for new configuration, legislation, or client rules. Creates and presents solution, proof of concept, or testing results to customer for new business processes or outcome requests. Completes configuration within schedule timelines and configuration best practices. Four or more years’ experience configuring in QNXT or FACETS: Contracts/benefits System data points needed for successful X12 transactions, Claim Adjustment Reason Codes and Remittance Advice Code

• QNXT or FACETS:

• Contracts for provider services, benefits for member coverage, fee schedules, capitation, and claim editing enforcement. Experience with Configuration Implementation Build & Maintenance Understands relational database concepts and schemas Experience writing SQL queries for data analysis Experience working with Medicaid/MMIS systems. Preferred experience includes DDI (Design, Development, and Implementation) and operations phases Experience processing Medicaid claims and ability to troubleshoot adjudication results Experience with Requirement Traceability Matrices.