PEM Implementation Consultant

Job Summary

To support ongoing PEM deployments, the contract-based PEM Implementation Consultant will provide hands-on expertise in system configuration, contract loading, and audit processes, ensuring successful delivery for key client implementations while working full-time.

Key Responsibilities

• Lead system configuration, contract loading, and validation/audit activities for active PEM implementations
• Provide subject matter expertise on PEM workflows and support issue resolution related to system stability and contract configuration
• Conduct structured knowledge transfer sessions and document best practices for PEM processes

Required Qualifications

• Minimum 3+ years of hands-on experience with Prospective Episode Manager (PEM)
• Strong domain knowledge in contract management, episode-based reimbursement, or value-based care models
• Proven experience with contract loading and validation, system configuration, and implementation workflows
• Familiarity with claims and reimbursement data structures (e.g., UB/1500 claims)
• Ability to translate complex contract terms into system configuration