Configuration Analyst, Associate

Blue Shield of California•Rancho Cordova, CA

1d•$32 - $45•Hybrid

About The Position

The QC Pricing Analytics and Contract Configuration team is responsible for performing an in-line audit for all negotiated provider contacts. The QC Configuration Analyst Associate will report to the QC Pricing Analytics Contract Configuration, Manager. In this role, you will conduct audits and run test claims to ensure future claims will be paid correctly based on the contractual terms. Validate that the negotiated provider contracts were built correctly and according to the contract’s specification Support process improvements by identifying possible gaps and addressing remediations. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Requirements

Associate degree
Experience in a role that requires attention to detail.
Experience in a role that requires analytical skills.
Experience in a role that requires problem-solving skills.
Experience in a role that requires communication skills.
Experience in a role that requires organizational skills.

Nice To Haves

Experience in the healthcare industry.
Experience with provider contracts.
Experience with claims processing.
Experience with process improvement methodologies.

Responsibilities

Conduct audits and run test claims to ensure future claims will be paid correctly based on the contractual terms.
Validate that the negotiated provider contracts were built correctly and according to the contract’s specification.
Support process improvements by identifying possible gaps and addressing remediations.