Senior Payment Accuracy Advisor

Job Summary

A company is looking for a Senior Payment Accuracy Advisor.

Key Responsibilities

• Implement and maintain ClaimsXten rules and rule logic to support client payment accuracy initiatives
• Consult with clients to define requirements, troubleshoot issues, and ensure high-quality project delivery
• Collaborate with teams to document business processes, monitor project outcomes, and drive continuous improvement initiatives

Required Qualifications

• Bachelor's degree in computer science, healthcare, or a related field or equivalent business experience
• Minimum of four years of combined healthcare, payor, or consulting experience
• Minimum of two years of medical claims experience within a payor environment
• Familiarity with SDLC frameworks and project implementation lifecycles
• Advanced skills in Microsoft Office Suite and experience with project management tools like Jira and Confluence