Provider Pricing Analyst

University Health; San Antonio (TX); On-site; USD 60,000 - 90,000; Full time

Job summary

University Health is seeking a Provider Pricing Configuration Analyst to oversee loading of provider contracts and fee schedules into the claims processing system, ensuring accurate payments. The role requires analytical skills to resolve complex payment issues and coordination across Auditing, Benefits Configuration and Provider Data teams.

The ideal candidate has a bachelor’s degree (healthcare or related field preferred) and experience with SQL or system configuration; healthcare experience

Qualifications

• Bachelor’s degree preferred; one year healthcare experience may substitute for education.
• System configuration or SQL experience preferred.
• Experience with provider pricing or claims data is a plus.

Responsibilities

• Load provider contracts and fee schedules into the claims processing system.
• Analyze complex problems related to claim payments.
• Serve as liaison between Auditing, Benefits Configuration and Provider Data Departments.
• Support interdepartmental teams on provider pricing and relationships; operate under limited supervision.

Skills

SQL

Data analysis

Provider pricing

Communication

Education

Bachelors degree in related field

Tools

System configuration

Job description

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.