Configuration Analyst, Associate
Ascendiun
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- Location
- Rancho Cordova, CA
- Job type
- Full time
- Posted
- Oct 7
- 10 days ago
Career path
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About the company
Ascendiun
Hospital & health care · 2 to 10 employees
What you'll do
- Conduct audits and run test claims to ensure future claims are paid correctly according to contractual terms.
- Validate provider contract configurations and support process improvements by identifying gaps and addressing remediations.
What you need
- Requires a bachelor’s degree or equivalent experience
- 0-2 years of prior relevant experience
- 0-2 years of prior audit experience of auditing BSC contracts
- Requires strong medical claims knowledge and experience
- Knowledge of FACETS, CLMS, MS Office Suite
- Previous auditing experience and claims processing experience in a health plan
- Service (internal customers) oriented/philosophy in a diverse, demanding, and evolving environment with good analytical and problem-solving skills, time management, and organizational skills
- Excellent interpersonal skills and ability to act as a team player <br>
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Read the full posting here
The QC Pricing Analytics and Contract Configuration team is responsible for performing an in-line audit for all negotiated provider contacts. The QC Configuration Analyst Associate will report to the QC Pricing Analytics Contract Configuration, Manager. In this role, you will conduct audits and run test claims to ensure future claims will be paid correctly based on the contractual terms. Validate that the negotiated provider contracts were built correctly and according to the contract’s specification Support process improvements by identifying possible gaps and addressing remediations.