We are seeking an experienced Senior Consultant – Configuration Management with strong expertise in HealthEdge Guiding Care. The ideal candidate will have hands-on experience across multiple Guiding Care modules, configuration, design documentation, SQL, APIs, and stakeholder collaboration.
Roles and Responsibilities
- Configure and support various HealthEdge Guiding Care modules, including:
- Care Management
- Utilization Management
- Appeals & Grievances (G&A)
- Analyze business requirements and translate them into functional and technical design solutions.
- Develop detailed design documents based on business requirements.
- Perform configuration and unit testing within the Guiding Care application, particularly the G&A module.
- Work with Business Rules and SmartComm Letters configuration.
- Utilize SQL to validate data and support application configuration.
- Work with Guiding Care database structures for troubleshooting and solution development.
- Collaborate with QA teams to clarify defects, answer functional questions, and support testing activities.
- Communicate effectively with business stakeholders to gather requirements and provide solution recommendations.
- Support application integrations through APIs and internal interfaces.
Required Skills
- Strong experience with HealthEdge Guiding Care modules:
- Care Management
- Utilization Management
- Appeals & Grievances
- Experience with Business Rules and SmartComm Letters.
- Ability to analyze and understand business requirements.
- Experience creating functional and technical design documents.
- Hands-on experience with Guiding Care database structure.
- Strong knowledge of SQL.
- Experience working with APIs and application integrations.
- Ability to perform unit testing, especially within the G&A module.
- Excellent communication and stakeholder management skills.
Preferred Skills
- Experience integrating Guiding Care with other internal applications.
- Knowledge of Azure DevOps (TFS) and ServiceNow.
Preferred Qualifications
- Experience working in healthcare payer environments.
- Strong analytical, problem-solving, and documentation skills.
- Ability to work independently while collaborating with cross-functional teams.