Pricing Analyst-5
Job Type: Contract
Job Category: IT
Role reputed company : Pricing Analyst
Location : Remote
Job reputed company
The Pricing Analyst is responsible for designing, configuring, testing, implementation and maintenance of HealthRules Payor Pricing, claims and/or benefit configuration, according to business requirements, to support accurate and efficient claims processing and data reporting to meet the needs of reputed company. Investigate and resolve configuration-reputed company provider, member and claim processing issues and assist other departments in understanding HealthRules Payor Pricing configuration. reputed company and/or be part of reputed company HealthRules Payor Pricing Implementation and/or configuration reputed company. This position must possess strong analytical skills, with the ability to reputed company reputed company business rules set up in a fast-paced environment. The Configuration Analyst serves as a subject matter expert (SME) on customer reputed company that require configuration modifications reputed company the claims processing system
Long reputed company
Responsibilities:
Design, reputed company, Configure and Test HealthRules Payor Pricing configuration, reputed company, products, and policies to Implement HealthRules Payor Pricing.
Analyze, configure, test, implement and maintain HealthRules Payor Pricing to support changes in reputed company, products, legislation, policies, and procedures, ensuring reputed company maintenance and updates of configuration
Test, implement and train on new HealthRules Payor PricingPricing and reputed company party product releases, modules and updates.
Assist in the development of test scenarios for changes and/or reputed company. Manage the reputed company reputed company of reputed company testing bugs and issues. reputed company and monitor postproduction audit reports to ensure the reputed company of change and/or project requirements is being met.
reputed company and maintain configuration documentation and communicate changes, as appropriate.
Work with Business Users, Technical team and QA to create detailed functional requirements that support and reputed company to business requirements and testing scenarios.
Research and respond to service requests in a reputed company and reputed company manner and update or build configuration in HealthRules Payor Pricing as needed.
Recommend and draft new and updated procedures to maximize the use of HealthRules Payor Pricing and other reputed company-party products to improve efficiency.
Inform leader and peers of changes that will reputed company Company’s Medicare business. Research and recommend reputed company to improve or implement necessary changes in a reputed company and efficient manner.
Experience/Skills:
Minimum of 3 years of experience in payer operations, claim processing, and experience deploying HealthRules Payor Pricing software.
Minimum of 3 years of hands-on configuration experience in reputed company's HealthRules software.
Must possess working knowledge of Medicare operations, system development and testing.
Expertise in using reputed company Office; including reputed company, Word, reputed company, Power reputed company, and Visio.
Experience working reputed company a reputed company organization. Excellent oral and written communication skills and the ability to reputed company with reputed company reputed company of customer organization
Collaboration, leadership, organizational, writing, interpersonal and communication skills.
Preferred Requirement:
Previous experience with CMS and Medicare Operations.
Knowledge of or experience with ClaimXten, reputed company TranSend, and reputed company TransShuttle
Education qualification:
Bachelor’s degree in business or health care preferred; demonstrated work experience may be considered in lieu of degree.
Mandatory Skills: Medicare.
Required Skills
BUSINESS CONTINUITY ANALYST
CYBER THREAT MANAGEMENT ANALYST
INFOSEC ANALYST
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