[Remote] Configuration Auditor/Analyst

Note: The job is a remote job and is open to candidates in USA. AmeriHealth Caritas is a mission-driven organization with over 30 years of experience in healthcare solutions. They are seeking a Configuration Auditor/Analyst to ensure accurate claims processing and system compliance by auditing configuration changes and validating production outcomes.

Responsibilities

• Audit and analyze all Facets configuration changes completed by the configuration analysts to ensure that all modifications have been completed correctly
• Review all associated documentation for completeness
• Communicate with the configuration analyst, configuration team lead, tester, and requestor as required to ensure the request is completed as intended
• Document all issues identified in the audit process and communicate the audit outcome to the appropriate persons
• The auditor will validate production to ensure that the case is migrated appropriately
• After changes migrate into production, a full post-implementation review is completed as the policy outlines
• The auditor will be expected to build/run complex queries to identify claims affected by the configuration change and analyze all claims to ensure that all outcomes are accurate based on the request
• Auditors must possess a comprehensive knowledge of technical and workflow process components of claims processing
• All auditors must attend ongoing training as needed and meet all production and quality goals to assist the team in meeting all required Service Level Agreements

Skills

• High School Diploma/GED required
• Minimum of 1 year of advanced-level claims experience and auditing experience
• Minimum of 3 years of system configuration experience
• Facets claim processing knowledge required
• Microsoft Access or equivalent relational database application experience
• Ability to build complex queries, reports, and macros
• Bachelor's Degree preferred

Benefits

• Flexible work solutions including remote options
• Hybrid work schedules
• Competitive pay
• Paid time off including holidays and volunteer events
• Health insurance coverage for you and your dependents on Day 1
• 401(k)
• Tuition reimbursement

Company Overview

AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill. It was founded in 1982, and is headquartered in Philadelphia, Pennsylvania, USA, with a workforce of 10001+ employees. Its website is http://www.amerihealthcaritas.com.

Company H1B Sponsorship

AmeriHealth Caritas has a track record of offering H1B sponsorships, with 6 in 2026, 17 in 2025, 17 in 2024, 12 in 2023, 14 in 2022, 4 in 2021, 11 in 2020. Please note that this does not guarantee sponsorship for this specific role.