Dexian · 3 hours ago

Capitation Configuration Analyst

Eden Prairie, MN

Contract

Remote

Mid Level

3+ years exp

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Responsibilities

Reading and interpreting provider contracts, or other pricing artifacts, to complete provider configuration design templates

Creating standard NetworX templates within Facets and on paper as a guide for Config Analysts to use to configure new

Extracting and analyzing pricing data to help assess business processes such as configuration accuracy, capitation allocation payments, and to resolve provider pricing inquiries and/or pended claims

Complete quality control measures, to include claim modeling, to ensure accuracy of NetworX Agreement configuration.

Identify process improvement opportunities to improve accuracy and timeliness (i.e., automation, turn-around time, etc.)

Manage assigned inventory to ensure timely contract load

Perform user acceptance testing on new/changed pricing tools

Serve as subject matter expert regarding configuration and/or Facets capabilities

Provide direction in selecting the appropriate Configuration Template(s) and/or request new designs for new pricing requirements

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Provider Pricing ConfigurationFacetsNetworXReading provider contractsContract reimbursement methodologyMicrosoft WordMicrosoft ExcelMicrosoft OutlookMicrosoft SharePointCapitation experienceDOFR / FARM applicationsMedicare pricing experienceMedicaid pricing experienceCommercial pricing experienceCustomer focus