Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely with flexible scheduling options
- Supportive and collaborative work environment
- Chance to make a positive impact on member and provider satisfaction
- Diverse and inclusive company culture committed to employee development

What to Expect (Job Responsibilities):
- Configure client systems for pricing (Provider Contract) according to defined business rules
- Evaluate configuration requirements and formulate effective configuration approaches
- Participate in problem-solving related to health plan benefits, provider pricing, and operational issues
- Support activities to update configurations within the core claims processing system
- Perform data validation and audit of existing plans and contracts in client databases

What is Required (Qualifications):
- Over 5 years of experience in US healthcare claims payer
- 3+ years of experience in configuring client systems for pricing (Provider Contract) and UAT testing
- High school diploma or equivalent required; technical/non-technical background accepted
- Ability to work within a project-oriented environment
- Experience with database management and maintenance

How to Stand Out (Preferred Qualifications):
- 6 months of experience with Amisys claims system functional configuration
- 6 months of DST pricer experience
- Associate's degree or some college coursework

#HealthcareServices #ClaimsProcessing #CareerOpportunity #RemoteWork #EmployeeDevelopment

"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."