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Provider Reimbursement Analyst, Lead

7/9/2025

Remote

Job Summary

A company is looking for a NetworX Provider Reimbursement and Content Analyst, Lead.

Key Responsibilities
  • Defines direction and improvement actions for provider reimbursement applications
  • Leads and mentors a team of Reimbursement Analysts, providing performance feedback and training
  • Ensures governance and quality processes are in place to maintain accuracy in applications
Required Qualifications
  • Bachelor's degree in Healthcare Administration, Business, Information Systems, or related field
  • Minimum of 8 years of experience in NetworX and 5 years in Optum PPS
  • 5 years of experience interpreting complex contract language specific to provider reimbursement
  • 4 years of experience in the healthcare industry
  • 3 years of extensive knowledge in claims processing and billing

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