Configuration Analyst- Pricing

Overview

Pricing Analyst role responsible for designing, configuring, testing, implementation and maintenance of HealthRules Payor Pricing, claims and / or benefit configuration, according to business requirements, to support accurate and efficient claims processing and data reporting. This position includes investigating and resolving configuration-related provider, member and claim processing issues, supporting other departments, and leading or participating in HealthRules Payor Pricing implementation and configuration projects. Strong analytical skills are required to perform complex business rules in a fast-paced environment. The Configuration Analyst serves as a subject matter expert on customer projects that require configuration modifications within the claims processing system.

Compensation

Base pay range : $95,000.00 / yr - $120,000.00 / yr

Expected annual pay for this role ranges from $95,000 to $120,000. Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), and other leave options.

Responsibilities

• Design, develop, configure and test HealthRules Payor Pricing configuration, contracts, products, and policies to implement HealthRules Payor Pricing.
• Analyze, configure, test, implement and maintain HealthRules Payor Pricing to support changes in contracts, products, legislation, policies, and procedures, ensuring timely maintenance and updates of configuration.
• Test, implement and train on new HealthRules Payor Pricing pricing and third-party product releases, modules and updates.
• Assist in the development of test scenarios for changes and / or projects. Manage timely resolution of open testing bugs and issues. Develop and monitor postproduction audit reports to ensure the intent of change and / or project requirements is being met.
• Develop and maintain configuration documentation and communicate changes, as appropriate.
• Work with business users, technical team and QA to create detailed functional requirements that support and align to business requirements and testing scenarios.
• Research and respond to service requests promptly and update or build configuration in HealthRules Payor Pricing as needed.
• Recommend and draft new and updated procedures to maximize the use of HealthRules Payor Pricing and other third-party products to improve efficiency.
• Inform leaders and peers of changes that will impact the company's Medicare business. Research and recommend methods to improve or implement necessary changes promptly and efficiently.

Qualifications and Experience

Preferred and Education

Mandatory Skills

Medicare.

Job Function and Industries

Location and Status

Jefferson City, MO — 1 day ago / 2 weeks ago postings exist with similar ranges.

We are an equal opportunity employer. Applications from people with disabilities are explicitly welcome.

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