What are the responsibilities and job description for the Contract Definition Analyst II - Remote position at Experian?
At Experian Health our employees can shape more than products they shape the future of U.S. healthcare.
This role is remote with 10% travel
The Contract Definition Analyst (healthcare payer experience required) reports to our Client Organization and is an important part of the Contract Definition Analyst team.
Youll have opportunity to :
- Define payer contracts including Medicare Medicaid Workers Compensation and all Commercial Payers within Experian Healths Contract Manager software
- Research payer websites for adjudication rules and participate in learning including CMS state Medicaid and Commercial Payers
- Review client claims or estimates to verify the accuracy of valuations
- Participate in internal and client meetings
- Use knowledge of reimbursement methodologies to model payer contracts for valuing physician and hospital claims and estimates
- Audit implementations
- Respond to valuationrelated support cases from clients within Experian Healths Service Level Agreement
Qualifications : 10% travel
Benefits / Perks :
Additional Information :
Our uniqueness is that we celebrate yours. Experians culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI work / life balance development authenticity collaboration wellness reward & recognition volunteering... the list goes on. Experians people first approach is awardwinning; Worlds Best Workplaces 2024 (Fortune Top 25) Great Place To Work in 24 countries and Glassdoor Best Places to Work 2024 to name a few. Check out Experian Life on social or our Careers Site to understand why.
Experian is proud to be an Equal Opportunity and Affirmative Action employer. Innovation is an important part of Experians DNA and practices and our diverse workforce drives our success. Everyone can succeed at Experian and bring their whole self to work irrespective of their gender ethnicity religion colour sexuality physical ability or age. If you have a disability or special need that requires accommodation please let us know at the earliest opportunity.
LIRemote
Remote Work : Employment Type :
Fulltime
Key Skills
IVR,SOAP,Avaya,Solaris,Cost Accounting Standards,Database Design,Hibernate,ITIL,Weblogic,Express.js,Contracts,ASP
Experience : years
Vacancy : 1
