Contract Pricing Analyst
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Job Summary
Responsible for the accurate configuration and maintenance of provider reimbursement arrangements, the full-time Contract Pricing Configuration Analyst will interpret contract terms, consult with contract managers, and perform problem resolution in a remote work environment.
Key responsibilities:
- Interpret and configure reimbursement arrangements for healthcare professionals and institutions
- Consult with contract managers to ensure accurate interpretation of contract terms
- Monitor and test the accuracy of pricing rules and assist with audit functions
Required qualifications:
- High School Diploma/GED required; 3-5 years of health care experience in provider contract and pricing configuration
- Experience with one or more claim systems and knowledge of medical terminology and coding
- Proficiency in MS Office products, MS Access, and SQL Server preferred
- Experience with pricing and provider contract arrangements
- In lieu of a degree, 5 years of relevant health care experience is acceptable
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