Analyze and summarize process behavior to expedite the design/solutioning process
Translate configuration enabling internal teams to resolve escalations
Process incoming Jira tickets to support provider escalation resolution
Identify and pilot opportunities to improve operational efficiency
Triage and manage workflows of ingested items
Investigate escalations via incoming tickets or informal pathways
Conduct necessary maintenance work and take on ad-hoc projects associated with in-network configuration.
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements

2+ years working knowledge of pricing methodologies and contract configuration
1 + years of SQL experience
2+ years Proficient in Microsoft Word, Excel and PowerPoint and/or comparable programs within the Google Docs Editors suite (e.g., Google Docs, Google Sheets, Google Slides).
1+ year experience working in health insurance industry/claims configuration

Benefits

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

SQLpricing methodologiescontract configurationoperational efficiencyworkflow management

Soft Skills

analytical skillsproblem-solvingcommunicationteam collaboration