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Healthcare Payer Contract Definition Analyst II

Company: VirtualVocations
Location: Glendale
Posted on: September 11, 2023

Job Description:

A company is looking for a Healthcare Payer Contract Definition Analyst II.
Key Responsibilities:

Define and maintain payer contracts in proprietary contract manager software
Model payer contracts to accurately value physician and hospital claims and estimates
Audit implementations and provide support for valuation-related cases

Required Qualifications:

Bachelor's degree or higher in a related field
Minimum of 5 years' experience in the physician and/or hospital industry
Experience with payer contracts, reimbursement, and adjudication rules for Medicare, Medicaid, and Commercial Payers
Knowledge of coding conventions and health insurance payers
Understanding of Medicare and commercial valuations of physician and hospital claims

Keywords: VirtualVocations, Glendale , Healthcare Payer Contract Definition Analyst II, Professions , Glendale, Arizona

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