Alignment Health
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
Medicare Advantage • Accountable care organization • Population health management • Medicare
System Configuration Analyst - Claims Editing
February 14
🇺🇸 United States – Remote
💵 $64.4k - $96.6k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
🧐 Analyst
🚫👨🎓 No degree required
Alignment Health
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
Medicare Advantage • Accountable care organization • Population health management • Medicare
📋 Description
• Configure system edits and rules in claim editing software • Interpret and implement medical coding requirements • Test and validate configurations for accuracy and compliance • Maintain and update business rules reflecting changes in coding
🎯 Requirements
• Minimum of 2 years hands-on experience in medical claim configuration • High School Diploma or GED • Strong understanding of medical claim coding systems • Experience configuring business rules and workflows • Excellent communication skills
🏖️ Benefits
• Equal Opportunity/Affirmative Action Employer • Opportunities for growth and innovation • Supportive and passionate team
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