Pricing and Reimbursement Analyst

Job Summary

A company is looking for a Pricing and Reimbursement Analyst for a remote contract position.

Key Responsibilities

• Research and develop configuration requirements for Medicaid provider contracts
• Manage end-to-end claims lifecycle and provider network contracting
• Interpret contract terms and ensure compliance with regulatory requirements

Required Qualifications

• Experience with Medicaid fee schedule requirements and related documentation
• Extensive knowledge of reimbursement methodologies and provider types
• Familiarity with Medicare and Medicaid regulations
• Ability to work independently in a fast-paced environment
• Experience leading cross-functional discussions and providing subject matter expertise