Configuration Specialist

Job Summary

A company is looking for a Configuration Specialist - Contract Build.

Key Responsibilities

• Interpret and configure provider contracts and pricing within core systems
• Collaborate with various teams to ensure accurate contract implementation and compliance
• Conduct testing and analysis to verify claims pricing accuracy and configuration integrity

Required Qualifications

• 3-5 years of experience in provider contract configuration or health plan claims process preferred
• High school diploma or GED; associate or bachelor's degree preferred
• In-depth knowledge of claim components influencing pricing and relevant coding systems
• Experience with health insurance benefit administration within a self-funded plan
• Demonstrated ability to analyze claims for pricing accuracy against contract requirements