Role summary
Configure and maintain provider data, contracts, and network setup within the FACETS Provider module.
Key responsibilities
- Configure provider demographics, contracts, and fee schedules
- Set up network and panel assignments and provider-to-plan linkages
- Support provider data loads and mass updates
- Resolve provider-related claims pricing discrepancies
- Maintain provider reference tables
Required qualifications
- 3+ years of FACETS Provider module configuration experience; workflow experience is a must
- Understanding of provider contracting, fee schedules, and reimbursement methodologies
- Experience with NPI, TIN, and provider credentialing data structures
- SQL skills for provider data validation
Preferred qualifications
- Experience with provider data management (PDM) tools
- Knowledge of value-based care (VBC) contract configuration
- Exposure to provider portal integrations
Rate:
Not specified
Location:
Remote
IR35 Status:
Not specified
Remote Status:
Remote
Industry:
Data & Analytics
Seniority Level:
Mid-Level