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Configuration Analyst Job
Full Job Title:
Oversees accurate and timely development of price rules and contract templates. Develops new business plans that will help promote technology and automation.
Builds rules within the Peradigm System, in coordination within State and Federal guidelines.
Monitors and tests the accuracy of price rules.
Researches both State and Federal mandates and builds interpretation grids.
Builds and tests contracts and pricing templates for the non-par and new business teams.
Works with all regions on non-par documentation.
Trains/monitors staff on contract pricing and contract templates.
Resolves provider load issues within appropriate time.
Ensures proper supporting documentation and maintains files for all price rules.
Resolves critical errors forwarded from the claims department.
Builds and maintains positive business relationships with business partners.
Loads professional contracts into the Diamond System through appropriate research and provider data load activities.
Required A High School or GED
Required 3 years of experience in analytics in a related field
Preferred Other Prior healthcare experience
Intermediate Other Knowledge of Claims Processing
Advanced Other Advanced understanding of contract terms and how they are loaded into the system
Advanced Other Advanced knowledge of provider/institutional billing practices
Advanced Other Ability to effectively research issues and resolve problems
Licenses and Certifications:
A license in one of the following is required:
Required Intermediate Peradigm (Diamond)
Preferred Intermediate Other SAS or SQL
Required Intermediate Other Cactus systems
Preferred Intermediate Other Knowledge of CPT/HCPCS coding
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Last Updated On: 12/9/2015