Senior Provider Configuration Analyst - National Remote
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About The Position
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Provider Configuration Analyst will configure pricing into a Facets platform which uses Network pricing capabilities for Practitioners, Acute Care Hospitals, Critical Access Hospitals, Ambulatory Surgical Centers, Federally Qualified Heath Care (FQHCs), Rural Health Clinics, Dialysis, and Ancillary provider types. This role will also be accountable for reading, interpreting, and translating provider contracts (or other pricing documents) into configuration design templates to facilitate contract loading (by self or others). The role is also accountable for following documented job aides and policies and procedures required to complete basic-to-complex configuration designs; and to teach them how to perform detailed analysis required to resolve and remediate configuration discrepancies/disputes. Additionally, the Senior Provider Configuration Analyst is responsible for loading provider fee schedules; and they are accountable for extracting pricing data from Facets to evaluate configuration outcomes and for reviewing and resolving pended claims which are attributed to pricing setup. This position is full-time. Employees are required to have flexibility to work during our normal business hours of 8:00am - 5:00pm local time. It may be necessary, given the business need, to work occasional overtime. We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
