Claims Configuration, Director

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Location
Phoenix, AZ
Job Type
Direct Hire
Date
Apr 01, 2019
Job ID
2664745




Seeking expert in Claims Configuration to Direct and oversee the claims configuration and pricing/benefits set up within the claims payment system ensuring accurate reflection of provider contracts and claims payments with large healthcare enterprise.















  • Ensures timely and accurate configurations and pricing/benefits set up for new business implementations
  • Ensure changes in provider contracts are reflected in the claims payment system
  • Collaborate with stakeholders to gather business requirements for system configurations and set up
  • Identify and implement opportunities to automate processes to increase effectiveness and efficiency 


  • Oversee the evaluation and analysis of upcoming implementations and ensure successful and smooth transition into claims systems and processes

 

Qualifications:


Education/Experience:

Bachelor's degree in Business Administration, Health Care Administration, Information Technology or related field or equivalent experience.

7+ years of configuration, claims adjudication, pricing/benefits setup, or contracting experience.