Configuration Specialist

Job Summary

A company is looking for a Configuration Specialist - Pricing.

Key Responsibilities

• Configure and maintain provider contracts and pricing in core systems
• Collaborate with various teams to ensure accurate contract interpretation and implementation
• Analyze claims for pricing accuracy and perform necessary adjustments

Required Qualifications

• High school diploma or GED; associate or bachelor's degree preferred
• 3 years of experience in provider contract configuration or health plan claims process preferred
• In-depth knowledge of claim components influencing pricing
• Experience with coding systems such as CPT, HCPCS, ICD-10, and others
• Proficient in Microsoft Office applications