Pricing and Reimbursement Analyst

Konsus, Inc. (Superside); United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading company is seeking a remote Pricing and Reimbursement Analyst. This role involves research and development of Medicaid provider contracts, management of the claims lifecycle, and ensuring compliance with regulations. Candidates should have extensive experience with Medicaid fee schedules and reimbursement methodologies.

Qualifications

• Experience with Medicaid fee schedule requirements.
• Ability to provide subject matter expertise in cross-functional discussions.
• Familiarity with Medicare and Medicaid regulations.

Responsibilities

• Research and develop Medicaid provider contract requirements.
• Manage end-to-end claims lifecycle.
• Interpret contract terms for regulatory compliance.

Skills

Knowledge of reimbursement methodologies

Experience with Medicaid fee schedule

Ability to work independently

Job description

A company is looking for a Pricing and Reimbursement Analyst for a remote contract position.

Key Responsibilities

• Research and develop configuration requirements for Medicaid provider contracts
• Manage end-to-end claims lifecycle and provider network contracting
• Interpret contract terms and ensure compliance with regulatory requirements

Required Qualifications

• Experience with Medicaid fee schedule requirements and related documentation
• Extensive knowledge of reimbursement methodologies and provider types
• Familiarity with Medicare and Medicaid regulations
• Ability to work independently in a fast-paced environment
• Experience leading cross-functional discussions and providing subject matter expertise