Pricing Configuration Consultant
Job Summary
Supporting provider contract pricing and reimbursement configuration, the full-time remote Pricing Configuration Consultant will manage the configuration of provider contracts, fee schedules, and claims adjudication processes for healthcare payer organizations.
Key responsibilities
- Configure and maintain provider contracts and reimbursement methodologies within the NetworX Pricing platform
- Analyze business requirements to implement effective pricing and reimbursement configurations
- Collaborate with cross-functional teams to resolve pricing and claims adjudication issues while maintaining documentation
Required qualifications
- Experience with provider contract pricing and reimbursement configuration in healthcare payer organizations
- Hands-on experience with NetworX Pricer and FACETS configuration
- Strong SQL skills for data analysis and validation
- Experience with testing and production support processes
- Knowledge of healthcare lines of business, including Commercial, Medicare, and Medicaid
Complete Job Description
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