Posted at: 28 February
Contract Definition Analyst II - Remote
Company
CompanyExperian
Experian is a Dublin-based global information services company specializing in credit reporting, data analytics, and decision analytics, primarily serving the B2C market in the financial services and consumer services industries.
Remote Hiring Policy:
Experian supports remote work for certain positions, primarily hiring from the United States, with team members working from home in various locations across the country.
Job Type
Job TypeContract
Allowed Applicant Locations
Allowed Applicant LocationsUnited States
Job Description
At Experian Health, our employees can shape more than products – they shape the future of U.S. healthcare.
This role is remote, with 10% travel
The Contract Definition Analyst (healthcare payer experience required), reports to our Client Organization and is an important part of the Contract Definition Analyst team.
You'll have opportunity to:
- Define payer contracts, including Medicare, Medicaid, Workers Compensation, and all Commercial Payers within Experian Health's Contract Manager software
- Research payer websites for adjudication rules and participate in learning, including CMS, state Medicaid, and Commercial Payers
- Review client claims or estimates to verify the accuracy of valuations
- Participate in internal and client meetings
- Use knowledge of reimbursement methodologies to model payer contracts for valuing physician and hospital claims and estimates
- Audit implementations
- Respond to valuation-related support cases from clients within Experian Health's Service Level Agreement