Pricing Analyst

TalentAlly; San Antonio (TX); On-site; USD 60,000 - 75,000; Full time

Job summary

A health care consulting firm in San Antonio is seeking a Provider Pricing Configuration Analyst to manage contracts and ensure claim payment accuracy. The ideal candidate will work closely with various departments for seamless operations and must have a bachelor's degree or relevant healthcare experience. Proficiency in SQL is preferred. Join us to contribute to our commitment to quality in healthcare delivery in a dynamic team.

Qualifications

• Bachelor’s degree preferred, but one year of health care experience may substitute.
• Preferred experience with system configuration and SQL.

Responsibilities

• Maintain and oversee loading of provider contracts into claims processing.
• Analyze problems regarding claim payments.
• Act as liaison between multiple departments.

Skills

Problem analysis

Interdepartmental communication

SQL

Education

Bachelor's degree in computer science, health care, or related field

Job description

POSITION SUMMARY/RESPONSIBILITIES

The Provider Pricing Configuration Analyst maintains and oversees the loading of provider contracts and fee schedules into claims processing system to ensure claims payment accuracy and consistency. Analyze complex problems pertaining to claim payments.

The Analyst will act as a liaison between the Auditing, Benefits Configuration and Provider Data Departments. Provides additional support to interdepartmental teams regarding provider pricing. Promote harmonious relationships within own department, with other departments. Operates under limited supervision.

EDUCATION/EXPERIENCE

Bachelor’s degree in computer science, health care or related field is preferred. Minimum of one year health care experience may be substituted for college education. System Configuration or SQL experience is preferred.