Want Remote Director, Claims Configuration in Clayton, MO
Job title: Remote Director, Claims Configuration
Company: Snapx
Job description: You could be the one who changes everything for our 26 million members. CLIENT is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Oversee 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 requirments 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