Curative · 4 hours ago
System Configuration Analyst
Maximize your interview chances
Health CareHealth Diagnostics
H1B Sponsor Likely
Insider Connection @Curative
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
Review business requirements, including requirements defined within benefit plan documents, provider contracts, and other sources.
Create system configuration within the claims system to meet the defined requirements
Perform initial testing of configuration to validate accuracy of the configuration
Support troubleshooting efforts when issues are identified or reporting
Recommend improvements to configuration processes and designs in order to reduce long-term maintenance and costs and improve automation and accuracy
Review claims system release notes to understand new functionality and make recommendations for how to utilize new and improved claims systems features
This role involves significant hands-on configuration of the claims system including creation and modification of benefits, benefit plans, service categories, provider contracts, fee schedules, and provider data set up
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.
Required
5+ years of working within a healthcare payer environment in Operations or Technology
3+ years of experience working hands-on with HealthRules Payer required in a configuration capacity including benefit, contract, fee schedule, account, and/or provider configuration roles
Knowledge of healthcare claims processing including adjudication, pricing, benefit management, and provider contracting, and pricing methodologies (Medicare Professional, IPPS/OPPS methodologies, etc.)
Demonstrated expertise with common tools such as MS Word, MS Excel
Company
Curative
Employer-sponsored health insurance with No Copays, No Deductible. No... Really.
H1B Sponsorship
Curative has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (2)
2021 (4)
Funding
Current Stage
Late StageTotal Funding
$8MKey Investors
Justin Mateen
2020-09-23Seed· $8M
2020-02-01Seed
Recent News
Coverager - Insurance news and insights
2024-02-06
2023-11-28
2023-03-13
Company data provided by crunchbase