Interpret payer contracts and reimbursement methodologies into system configurations.
Configure managed care terms, fee schedules, and reimbursement rules in the platform.
Validate reimbursement calculations across Medicare, Medicaid, and commercial payers.
Implement custom reporting and product optimizations for end users.
Analyze healthcare data with SQL and support customer workflows.
Collaborate with customers and internal teams to resolve questions and improve product.

🎯 Requirements

Bachelor’s degree; 2+ years in healthcare revenue cycle.
5+ years of SQL experience.
Knowledge of Medicare/Medicaid/TRICARE and payer contracts.
Experience with healthcare financial or claims datasets.
Analytical problem-solving with root-cause analysis.
Strong ability to translate end-user issues into product enhancements.

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