Director - Claims Configuration

Confidential Company  •  Missouri City, MO

8 - 10 years experience  •  Healthcare IT

$100K - $150K ($100K - $150K base + Relocation assistance provided position purpose: oversee th)
Posted on 08/10/17 by Vamsi Viren
Missouri City, MO
8 - 10 years experience
Healthcare IT
$100K - $150K
($100K - $150K base + Relocation assistance provided position purpose: oversee th)
Posted on 08/10/17 by Vamsi Viren

Relocation assistance provided

Position Purpose: Oversee the claims configuration and pricing/benefits set up within the claims payment system ensuring accurate reflection of provider contracts and claims payments 

·  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 requirments 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


Education/Experience:

 Bachelor's degree in Business Administration, Health Care Administration, Information Technology or related field. 7+ years of configuration, claims adjudication, pricing/benefits setup, or contracting experience.

Not the right job?
Join Ladders to find it.
With a free Ladders account, you can find the best jobs for you and be found by over 20,0000 recruiters.