Director - Claims Configuration

ALC Staffing Associates   •  

Tempe, AZ

Industry: Healthcare

  •  

8 - 10 years

Posted 150 days ago

  by    Arthur Crume

This job is no longer available.

Director-Claims Configuration

*Must have healthcare operations experience.

*7+ years of configuration, claims adjudication, pricing/benefits setup, or contracting experience.

*Must have 11 years of experience in lieu of a bachelor level degree.

Tempe, AZ

Nationwide Relocation Assistance Available

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.

Ensure 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 requirements 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.

Qualifications:

*Bachelor's degree in Business Administration, Health Care Administration, Information Technology or related field or equivalent experience.

*7+ years of configuration, claims adjudication, pricing/benefits setup, or contracting experience.

Nice-to-have skills:

Government and Commercial knowledge.

Equal opportunity employer that is committed to diversity, and values the ways in which we are different.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Salary

$125K - $179K