Configuration Analyst

DMBA (Deseret Mutual Benefit Administrators) is a non-profit organization that administers benefits for companies who are owned or affiliated with The Church of Jesus Christ of Latter-day Saints.

We are looking for a Configuration Analyst to help set up, maintain, and optimize core business applications, including the Cognizant QNXT Product Suite. This position ensures that system configurations align with both business needs and regulatory standards by working closely with internal teams and external partners. Key duties include implementing, testing, and validating configuration changes, assisting with project initiatives, and helping improve system efficiency and compliance. The configuration analyst handles complex tasks involving multiple aspects of configuration to accurately and efficiently process claims based on plan documents and provider contracts.

This is a great position for someone who wants to make a difference!

Duties include, but are not limited to:

• Interpret complex benefit information and contractual agreements to configure solutions that align with requirements and claim payments.
• Coordinate the entry, testing, validation, and migration of business rules into test and production environments.
• Collaborate with developers to design, test, and implement code for external pricing rules and custom solutions.
• Ensure the accurate and timely implementation of critical information, such as provider data, benefits, pricing, and claims processing rules.
• Identify process inefficiencies and recommend improvements.
• Audit plan, product, and contract configurations for accuracy and compliance.
• Provide application and technical support for QNXT and clinical editing software, including troubleshooting for end users.
• Research and resolve inaccuracies in business rules affecting claims and transactions.
• Recommend and implement benefit setups based on system capabilities and client requirements.
• Participate in system conversions and upgrades, including testing new features and creating test scenarios.
• Develop user documentation and configuration policies and procedures.
• Collaborate with IT to define business system requirements and document findings.

Skills and/or qualifications

• Proficiency in Word, Excel, Visio, and SQL.
• Strong organizational skills, attention to detail, and ability to manage multiple tasks.
• Analytical thinking, sound judgment, and effective problem-solving skills.
• Ability to self-manage projects within areas of responsibility.
• Ability to articulate ideas clearly and confidently in meetings, presentations, and conversations.

Required Experience

• Knowledge of healthcare transactions, health plan terminology, and medical coding (CPT, HCPCS, ICD10, CDT, Revenue, DRG, etc.).
• Junior Analyst: Minimum 3 years in healthcare operations or claims processing.
• Senior Analyst: Minimum 6 years in healthcare operations or claims processing.

Preferred Experience

• Bachelor's degree in business administration, MIS, Computer Science, or equivalent experience.
• Experience with configuration tools (Facets, QNXT, NetworX).
• Familiarity with HIPAA transactions (e.g., 837, 835, 270/271), CMS guidelines, and state regulations.
• Advanced analytical, problem-solving, and documentation skills.

What We Offer:

• Competitive pay
• Rich medical, vision and dental benefits with low premiums. One of the top health plans in Utah
• Rich retirement planning: including 401(k) company match, 8% EDRC Employer Discretionary Retirement Contribution (we just give you free money for retirement), life insurance, and full-service Financial Planners onsite at no cost
• Generous paid leave plan that starts accruing your first day, your birthday off, additional sick leave and 12 paid holidays
• Award winning wellness program with health coaching, ability to earn 3 additional days off a year, fun activities and an onsite gym.
• Tuition reimbursement
• Career development through company sponsored programs and over 5000 on-demand online training courses.
• Hybrid work schedules available depending on position.
• Employee Assistance Program