Job description

Analyst Candidate Specification: Minimum 2+ years of experience into Provider reimbursement Job description: Healthcare provider reimbursement, pricing configuration, or network management, with a strong understanding of Facets or similar healthcare administration platforms. Proven experience in configuring provider reimbursement structures and pricing models, including fee-for-service, capitation, and bundled payments. Knowledge of healthcare reimbursement rules and regulations, including CMS, NCQA, and HIPAA. Strong analytical and problem-solving skills, with the ability to identify and resolve complex reimbursement issues.

Skills Required

Key Skills

• PROVIDER REIMBURSEMENT
• PRICING CONFIGURATION
• FACETS

Other Information