Contract Definition Analyst
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About Experian:
- Experian is a global data and technology company powering opportunities across financial services, healthcare, and more.
- With 25,200 employees in 32 countries, we prioritize a people-first culture and innovation.
Job Description:
- Analyze and define medical group contracts for Medicare, Medicaid, and Commercial payers.
- Interpret reimbursement provisions and apply RBRVS methodologies for accurate system configuration.
- Validate claim valuations and respond to support cases to resolve discrepancies.
Qualifications:
- 4+ years healthcare experience with professional payer contracts and reimbursement.
- Advanced Excel skills and knowledge of CPT, HCPCS, and coding conventions.
Experian
Experian is a global data and technology company that powers opportunities for people and businesses worldwide. With over 25,200 employees across 32 countries, we foster a people-first, inclusive culture.