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Director, Claims Configuration

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Tempe, AZ
Job Type
Direct Hire
Feb 08, 2019
Job ID

Director, Claims Configuration – Tempe, AZ

         Full relocation package to Tempe – exceptional career growth !

Experienced Director will have ownership of the claims configuration and pricing/benefits set up within the claims payment system, ensuring accurate reflection of provider contracts and claims payments
•  Ensures timely and accurate configurations and pricing/benefits set up for new business implementations
•  Ensure changes in provider contracts are reflected in the claims payment system
•  Collaborate with stakeholders to gather business requirements for system configurations and set up
•  Identify and implement opportunities to automate processes to increase effectiveness and efficiency
•  Oversee the evaluation and analysis of upcoming implementations and ensure successful and smooth transition into claims systems and processes

-Bachelor's degree preferred

7+ years of configuration, claims adjudication, pricing/benefits setup, or contracting experience.

OR must have 11 years of experience in lieu of a bachelor level degree.