• Job Description

  Req#: 2697
  Employer Industry: Healthcare Payment and Reimbursement
  
  Why consider this job opportunity:
  - Competitive salary with additional position-specific incentives
  - Opportunity for career advancement and professional development
  - Comprehensive benefits package including health insurance and fully paid life insurance
  - Collaborative and supportive work environment that values integrity and respect
  - Chance to contribute to lowering healthcare administrative costs for federal agencies and providers
  - Flexible work-life balance supported by a performance-driven culture
  
  What to Expect (Job Responsibilities):
  - Configure and maintain payment, pricing, and contract logic within healthcare reimbursement systems
  - Analyze vendor bulletins and regulatory updates to assess impacts on internal processes
  - Review and evaluate large healthcare data sets to identify trends and necessary changes
  - Collaborate with government agencies to clarify reimbursement and payment policies
  - Develop complex Excel models to validate and support payment methodologies
  
  What is Required (Qualifications):
  - 3-4 years of professional experience in healthcare provider payment and reimbursement
  - Working knowledge of healthcare billing, compliance, and payer reimbursement regulations
  - Experience with professional and institutional payment fee schedules, including Prospective Payment Systems (PPS)
  - Ability to collect, research, interpret, and document complex information into clear business requirements
  - Strong interpersonal and cross-functional collaboration skills
  
  How to Stand Out (Preferred Qualifications):
  - Proficiency in Microsoft Office applications (Teams, Word, Excel, PowerPoint, Visio, Access)
  - Experience using web-based research tools and regulatory resources
  - Knowledge of claims adjudication and payment workflows
  - Experience configuring TriZetto Facets NetworX and Optum Rate Manager
  - SQL reporting experience preferred
  
  #HealthcareReimbursement #CareerOpportunity #CompetitivePay #ProfessionalDevelopment #HealthcareIndustry
  
  "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."

• About the company

  Signature Performance provides high performance administration services to the private and public healthcare industry, bending the curve of healthcare costs.

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